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Periodontist in Roseville, CA

Registered specialistLicense # listed (TX)

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Public-record details

Address
1623 Santa Clara Dr Ste 100, Roseville, CA 95661
Phone
(424) 413-1939
Listed under
Periodontists
NPI
1841933546
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Periodontics (1223P0300X)
License number on NPI record
42104 (TX)
NPI first issued
Apr 19, 2022
NPI record last updated
Feb 20, 2026

NPI 1841933546 is active in the federal NPPES registry (CMS) with Periodontics, an ADA-recognized dental specialty, as its primary taxonomy; license 42104 (TX) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Periodontists specialize in the gums and bone that support the teeth, including placing implants, gum and bone grafting, and treating gum disease. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1841933546 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Prosthodontics, the American Board of Oral and Maxillofacial Surgery and the American Board of Periodontology each list their board-certified members.

Other implant specialists in Roseville

Don Kim, DDS, MD1441 Secret Ravine Pkwy Ste 160 · Roseville, CA 95661 · (916) 787-1515 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (CA)Jonathan Wang, DDS580 N Sunrise Ave Ste 190 · Roseville, CA 95661 · (916) 772-0112 · PeriodontistsRegistered specialty: PeriodonticsRegistered specialistLicense # listed (CA)Kristen Young DDS, Ms, INC.1623 Santa Clara Dr Ste 100 · Roseville, CA 95661 · (650) 455-7912 · PeriodontistsRegistered specialty: Periodontics · PracticeRegistered specialistLori Martinez-Rubio1421 Secret Ravine Pkwy Ste 101 · Roseville, CA 95661 · (916) 781-3743 · PeriodontistsRegistered specialty: PeriodonticsRegistered specialistLicense # listed (CA)Rami Beshai, DDS10014 Foothills Blvd · Roseville, CA 95747 · (916) 780-2262 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (CA)Samer Albadawi, DMD, Mph, INC1404 Blue Oaks Blvd Ste 120 · Roseville, CA 95747 · (916) 975-9229 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial Surgery · PracticeRegistered specialistTania Nelson-Chrystal, DDS, MD8775 Sierra College Blvd Ste 350 · Roseville, CA 95661 · (916) 262-7963 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (CA)Teerarat Phuatrakoon1623 Santa Clara Dr Ste 100 · Roseville, CA 95661 · (916) 788-1114 · PeriodontistsRegistered specialty: PeriodonticsRegistered specialistLicense # listed (CA)

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