PACIFIC SMILE DENTAL CLINIC
NPI 1073987707
Dentist in Moreno Valley, CA

Active since November 18, 2015
25025 RED MAPLE LN STE 105, MORENO VALLEY, CA 92551(951) 924-6370(951) 924-6374 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Smile Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC SMILE DENTAL CLINIC (NPI 1073987707) is a healthcare organization registered as a dentist in Moreno Valley, California and active in the NPI registry since November 2015. The organization lists Maritza Mondragon, Front Office, as its authorized official.

NPPES Registry Identity

NPI1073987707
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePACIFIC SMILE DENTAL CLINIC
Location Address25025 RED MAPLE LN STE 105Moreno Valley, CA 92551-1137
Mailing Address25025 Red Maple Ln Ste 105Moreno Valley, CA 92551-1137 · (951) 924-6370 · Fax (951) 924-6374
Fax(951) 924-6374
Organization SubpartNo
Authorized OfficialMaritza MondragonFront Office · (951) 924-6370
Enumeration DateNovember 18, 2015
NPI 1073987707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 47031
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
25025 RED MAPLE LN STE 105, Moreno Valley, CA 92551

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
25025 RED MAPLE LN STE 105
MORENO VALLEY, CA 92551
Dentist (General Practice)
25025 RED MAPLE LN STE 105
MORENO VALLEY, CA 92551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Smile Dental Clinic's NPI number?

The NPI number for Pacific Smile Dental Clinic is 1073987707. It was assigned to this organization in the NPPES registry on November 18, 2015.

Where is Pacific Smile Dental Clinic located?

Pacific Smile Dental Clinic is located at 25025 Red Maple Ln Ste 105, Moreno Valley, CA 92551. The listed phone number is (951) 924-6370.

What is Pacific Smile Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Pacific Smile Dental Clinic was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.