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Capitol Periodontal Group

Periodontics in Davis, CA · enumerated 2019 · authorized official Renee Blake, Insurance Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366908618

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Registry record

Entity type Organization (Type 2)
Legal business name Capitol Periodontal Group
Practice address 750 F Street #5, Davis, CA, 95616
Fax (530) 756-5688
Enumeration date Feb 12, 2019
Last updated in NPPES Feb 12, 2019

Taxonomy & classification

1223P0300X Periodontics Dental Providers Primary

Authorized official

Name Renee Blake
Title Insurance Coordinator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Capitol Periodontal Group?
The NPI for Capitol Periodontal Group is 1366908618, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Capitol Periodontal Group?
NPPES lists Renee Blake (Insurance Coordinator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-12.