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DR. MAURICIO DOSSANTOS DDS
NPI 1104176817
Dentist - General Practice in Yucaipa, CA

Active since September 11, 2012
12033 4TH ST STE 7, YUCAIPA, CA 92399(909) 790-1951(909) 790-1561 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mauricio Dossantos Dds NPPES

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

DR. MAURICIO DOSSANTOS DDS (NPI 1104176817) is an individual general practice provider in Yucaipa, California, licensed in California (61711) and active in the NPI registry since September 2012. He maintains a secondary practice location in Rialto.

NPPES Registry Identity

NPI1104176817
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MAURICIO DOSSANTOSCredential: DDS
Location Address12033 4TH ST STE 7Yucaipa, CA 92399-2755
Mailing Address12033 4th St Ste 7Yucaipa, CA 92399-2755 · (909) 790-1951 · Fax (909) 790-1561
Phone(909) 790-1951
Fax(909) 790-1561
Sole ProprietorYes
Enumeration DateSeptember 11, 2012
Last NPPES UpdateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
✔ NPI 1104176817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 61711
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.
12033 4TH ST STE 7, Yucaipa, CA 92399
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Secondary Practice Location 1

Location 11745 N Riverside AveRialto, CA 92376-8062 · Phone (909) 874-0132

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Mauricio Dossantos's NPI number?

The NPI number for Mauricio Dossantos is 1104176817. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is Mauricio Dossantos located?

Mauricio Dossantos practices at 12033 4th St Ste 7, Yucaipa, CA 92399. The listed phone number is (909) 790-1951.

What is Mauricio Dossantos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mauricio Dossantos accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Mauricio Dossantos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mauricio Dossantos was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.