OrganizationActive
Summit Dental Practice
NPI 1578956363 · Dentist · Folsom, CA
Summit Dental Practice is a Dentist organization in Folsom, CA (NPI 1578956363).
Provider details
- NPI number
- 1578956363
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mahnaz Moussavi, DDS(916) 355-8400
- License
- 39990 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
25004 Blue Ravine Rd
Folsom, CA 95630-5283
Phone: (916) 355-8400
Fax: (916) 355-8460
Street-level locationGet directions
Mailing address
25004 Blue Ravine Rd
Folsom, CA 95630-5283
Registry dates
- Enumerated
- 2015-03-18
- Last updated
- 2015-03-18
Frequently asked questions
- What is Summit Dental Practice's NPI number?
- Summit Dental Practice's National Provider Identifier (NPI) is 1578956363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Dental Practice?
- Summit Dental Practice is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Summit Dental Practice located?
- Summit Dental Practice's practice location on file with NPPES is 25004 Blue Ravine Rd, Folsom, CA 95630-5283.
- What is Summit Dental Practice's phone number?
- The practice phone number listed in the NPPES registry for Summit Dental Practice is (916) 355-8400.
- Who is the authorized official for Summit Dental Practice?
- The authorized official listed on Summit Dental Practice's NPPES record is Mahnaz Moussavi, DDS. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Dental Practice's NPI active?
- Yes — Summit Dental Practice's NPI (1578956363) is active in the NPPES registry as of the last update on 2015-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.