OrganizationActive
Prodent Dental Lab
NPI 1477884641 · Dental Laboratory · Vacaville, CA
Prodent Dental Lab is a Dental Laboratory organization in Vacaville, CA (NPI 1477884641).
Provider details
- NPI number
- 1477884641
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Percival Manzano, Lab Technician(707) 655-8824
- License
- 016761 (CA)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3000 Alamo Dr Ste 108
Vacaville, CA 95687-6345
Phone: (707) 655-8824
Street-level locationGet directions
Mailing address
3000 Alamo Dr Ste 108
Vacaville, CA 95687-6345
Registry dates
- Enumerated
- 2010-01-27
- Last updated
- 2010-01-28
Frequently asked questions
- What is Prodent Dental Lab's NPI number?
- Prodent Dental Lab's National Provider Identifier (NPI) is 1477884641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prodent Dental Lab?
- Prodent Dental Lab is classified in the NPPES registry as Dental Laboratory (Laboratories).
- Where is Prodent Dental Lab located?
- Prodent Dental Lab's practice location on file with NPPES is 3000 Alamo Dr Ste 108, Vacaville, CA 95687-6345.
- What is Prodent Dental Lab's phone number?
- The practice phone number listed in the NPPES registry for Prodent Dental Lab is (707) 655-8824.
- Who is the authorized official for Prodent Dental Lab?
- The authorized official listed on Prodent Dental Lab's NPPES record is Percival Manzano, Lab Technician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prodent Dental Lab's NPI active?
- Yes — Prodent Dental Lab's NPI (1477884641) is active in the NPPES registry as of the last update on 2010-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.