Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Santa Cruz Dental Group

Organization Dentist · NPI 1962952762

Santa Cruz Dental Group provides Dentist services in Santa Cruz, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

1017 Mission St
Santa Cruz, CA 95060-3524 Not confirmed with CMS for 10 years — call before visiting
Phone: (831) 426-3535
Fax: (831) 454-0330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 32389 (CA)
Dentist Taxonomy 122300000X · Licence 50398 (CA)
Dentist Taxonomy 122300000X · Licence 50395 (CA)

Record details

NPI number1962952762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Max Wilson — Partner · (831) 426-3535
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 5, 2016
Mailing address1017 Mission St, Santa Cruz, CA 95060-3524

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