Healthcare Provider Details

I. General information

NPI: 1730977687
Provider Name (Legal Business Name): FIND DENTAL PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 05/18/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18453 YORKTON DR
LATHROP CA
95330-8435
US

IV. Provider business mailing address

18453 YORKTON DR
LATHROP CA
95330-8435
US

V. Phone/Fax

Practice location:
  • Phone: 415-596-8151
  • Fax:
Mailing address:
  • Phone: 415-596-8151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY REGINA CROCKETT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MBA
Phone: 415-596-8151