OrganizationActive
Capitol Periodontal Group
NPI 1962735993 · Periodontics · Folsom, CA
Provider details
- NPI number
- 1962735993
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Renee Blake, Insurance Specialist(916) 691-1050
- License
- 22639744 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 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
2535 E Bidwell St Ste 150
Folsom, CA 95630-6458
Phone: (916) 984-1109
Fax: (916) 984-1764
Street-level locationGet directions
Mailing address
9309 Office Park Cir Ste 120
Elk Grove, CA 95758-8072
Registry dates
- Enumerated
- 2009-09-09
- Last updated
- 2009-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.