PACIFIC DENTAL CLINIC


Address: 25025 Red Maple Ln, Moreno Valley, CA 92551-1137
Phone: 9519246370

PACIFIC DENTAL CLINIC (NPI# 1326381450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326381450
Entity Type Organization
Organization Name PACIFIC DENTAL CLINIC
Practice Address 25025 Red Maple Ln
Moreno Valley
CA 92551-1137
Mailing Address 25025 Red Maple Ln
Moreno Valley
CA 92551
Practice Telephone 9519246370
Practice Fax Number 9519246374
Mailing Telephone 9519246370
Mailing Fax Number 9519246374
Enumeration Date 2013-03-27
Last Update Date 2013-03-27
Authorized Official Name DR. JORGE L GERONIMO (DENTIST)
Authorized Official Telephone 9519246370
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
47897 CA Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750575403 Pacific Dental Clinic Preferred Provider Organization 1201 N Euclid St, Anaheim, CA 92801-1954 2007-09-05

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities PACIFIC DENTAL CLINIC MANAGEMENT GROUP LLC 7550 W. Yale Ave, Suite A-201, Denver, CO 80227

Office Location

Street Address 25025 RED MAPLE LN
City MORENO VALLEY
State CA
Zip Code 92551-1137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194809830 Megha A Joshi Dentist 25025 Red Maple Ln, Suite 105, Moreno Valley, CA 92551-1137 2006-10-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730735549 Geraldine Reed-lewis Technician 24805 Quenada Dr., Moreno Valley, CA 92551 2019-08-16
1003330176 Xochitl Estrada Marroquin Behavioral Analyst 24458 Liolios Way, Moreno Valley, CA 92551 2017-07-31
1124407291 Lynelle Chapman Marriage & Family Therapist 16339 Silverbirch Rd, Morenovalley, CA 92551 2015-05-22
1225298904 Fy Eye Optometry Group Inc Optometrist 27100 Eucalyptus, Moreno Valley, CA 92551 2008-06-16
1407945306 Garfield Beach Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 15025 Perris Blvd, Moreno Valley, CA 92551 2006-10-11
1033487327 Red Maple Mtu Public Health or Welfare 25100 Red Maple Ln Bldg H, Moreno Valley, CA 92551-1120 2011-12-01
1780910984 Michael Robert Thomas Physical Therapy Assistant 16420 Perris Blvd, Moreno Valley, CA 92551-1135 2009-10-22
1386190866 U.S. Healthworks Medical Group, PC Preventive Medicine 16420 Perris Blvd, Suite Q, Moreno Valley, CA 92551-1135 2016-08-25
1316292741 Beautiful Skin Essentials Inc Registered Nurse 16420 Perris Blvd, Suite #l, Moreno Valley, CA 92551-1135 2012-07-23
1265754055 Reza Farahanchi Acupuncturist 16420 Perris Blvd, Moreno Valley, CA 92551-1135 2010-02-19
Find all providers in zip 92551

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720694656 Adrian Acosta Dds A Professional Dental Corp Dentist 11875 Pigeon Pass Road, Suite B9, Moreno Valley, CA 92557-6039 2020-09-16
1841802667 Laila Adel Abdelrahman Dentist 25681 Shalu Ave, Moreno Valley, CA 92557-6614 2020-08-21
1790325140 Sumilat Dds, Inc. Dentist 11481 Heacock St Ste 160, Moreno Valley, CA 92557-7906 2020-01-14
1245716539 B. Deirmenjian, Dds, Inc Dentist 12252 Perris Blvd Ste B, Moreno Valley, CA 92557-7418 2018-07-19
1619404167 Yulia Chigir Dentist 27110 Eucalyptus Ave Ste A, Moreno Valley, CA 92555-4542 2017-05-15
1831635317 Abraham Nilton Deza Rolando Dentist 24561 Alessandro Blvd, Moreno Valley, CA 92553-3918 2017-01-09
1245623164 Faramarz R. Boniadi Dds Inc Dentist 12712 Heacock St Ste 4, Moreno Valley, CA 92553-3037 2015-03-17
1164821906 Fratt Dental Corpoartion Dentist 12761 Moreno Beach Dr, Suite 103, Moreno Valley, CA 92555-4418 2014-08-18
1538581806 Ashley Leann Abrams Dentist 27339 Darlene Drive, Moreno Valley, CA 92555 2014-01-06
1821330671 Carmen Amelia Zamora Dentist 12624 Memorial Way, Apt 3139, Moreno Valley, CA 92553-7543 2013-03-20
Find all providers in MORENO VALLEY

Competitor

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City MORENO VALLEY
Zip Code 92551

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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