IndividualActive
Jose Bandala, DDS
NPI 1861512428 · General Practice Dentistry · Roseville, CA
Provider details
- NPI number
- 1861512428
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 41233 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1620 Lead Hill Blvd # 300
Roseville, CA 95661-3033
Phone: (916) 782-0440
Fax: (916) 783-6332
Street-level locationGet directions
Mailing address
1620 Lead Hill Blvd
Roseville, CA 95661-2853
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2016-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.