ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP


Address: 11875 Pigeon Pass Road, Suite B9, Moreno Valley, CA 92557-6039
Phone: 9514888688

ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP (NPI# 1720694656) 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) 1720694656
Entity Type Organization
Organization Name ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP
Practice Address 11875 Pigeon Pass Road
Suite B9
Moreno Valley
CA 92557-6039
Mailing Address 901 W. Whitter Blvd
La Habra
CA 90631-3743
Practice Telephone 9514888688
Practice Fax Number 9514888688
Mailing Telephone 5623560948
Mailing Fax Number 8668173581
Enumeration Date 2020-09-16
Last Update Date 2020-09-16
Authorized Official Name ALAN BOVAL (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 5623560948
Is Organization Subpart Y
Parent Organization Name ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP

Taxonomy

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912508177 Adrian Acosta Dds A Professional Dental Corp Dentist 951 W. Whittier Blvd, La Habra, CA 90631-3743 2020-11-04
1962018887 Adrian Acosta Dds A Professional Dental Corp Dentist 4595 La Sierra Ave, Riverside, CA 92505-2900 2020-09-16

Office Location

Street Address 11875 PIGEON PASS ROAD
SUITE B9
City MORENO VALLEY
State CA
Zip Code 92557-6039

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598314577 Knight Rider Transport Inc Private Vehicle 21334 Ocasey Ct, Moreno Valley, CA 92557 2019-09-11
1679041495 Shaping Pathways Community/Behavioral Health 11627 Mccully Court, Moreno Valley, CA 92557 2018-11-09
1710485644 Torie Curiel Behavior Technician 12125 Day St E301, Moreno Valley, CA 92557 2018-01-25
1164949921 Phyllis Yvonne Miller Behavioral Analyst 15450 Casa Grande St, Moreno Valley, CA 92557 2017-08-23
1255855912 Natalie Maria-vega Cortinas Specialist/Technologist 12348 Kasota Ct., Moreno Valley, CA 92557 2017-08-03
1942720263 Shenna Pontier Brown Licensed Vocational Nurse 12031 Poutous Ct, Moreno Valley, CA 92557 2017-06-27
1104209733 Saira Medrano Counselor 11966 Villa Hermosa, Moreno Valley, CA 92557 2015-07-01
1295071405 Maura Sauls Counselor 9963 Paseo Corralito, Moreno Valley, CA 92557 2012-12-14
1992919583 Jody Willetts Technician, Other 11480 Tiffany Lane, Moreno Valley, CA 92557 2007-05-10
1457564841 Derrick Trigenza Smith Dental Hygienist 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 2007-05-08
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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
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
1659621613 Santiago A Rojo D.d.s Inc. Dentist 22435 Alessandro Blvd, Suite106, Moreno Valley, CA 92553-8356 2012-09-17
Find all providers in MORENO VALLEY

Competitor

Search similar providers

City MORENO VALLEY
Zip Code 92557

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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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