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LOMA LINDA UNIVERISTY
NPI 1124185194
Dentist - Periodontics in Loma Linda, CA

Active since January 02, 2007
LOMA LINDA UNIVERSITY--SCHOOL OF DENTISTRY, 11092 ANDERSON STREET, LOMA LINDA, CA 92354(909) 558-4613(909) 558-4192 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Loma Linda Univeristy NPPES

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

LOMA LINDA UNIVERISTY (NPI 1124185194) is a healthcare organization registered as a periodontics in Loma Linda, California and active in the NPI registry since January 2007. The organization lists Rodney Dale Neal, Vice President, as its authorized official.

NPPES Registry Identity

NPI1124185194
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameLOMA LINDA UNIVERISTY
Location AddressLOMA LINDA UNIVERSITY--SCHOOL OF DENTISTRY, 11092 ANDERSON STREETLoma Linda, CA 92354
Mailing AddressLoma Linda University--school Of Dentistry, 11092 Anderson StreetLoma Linda, CA 92354 · (909) 558-4613 · Fax (909) 558-4192
Phone(909) 558-4613
Fax(909) 558-4192
Organization SubpartNo
Authorized OfficialRodney Dale NealVice President · (909) 558-4543
Enumeration DateJanuary 2, 2007
Last NPPES UpdateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
✔ NPI 1124185194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 2043
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
LOMA LINDA UNIVERSITY--SCHOOL OF DENTISTRY, Loma Linda, CA 92354
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Other Identifiers 1

MedicaidG02000-01CA

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

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 Loma Linda Univeristy's NPI number?

The NPI number for Loma Linda Univeristy is 1124185194. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Loma Linda Univeristy located?

Loma Linda Univeristy is located at Loma Linda University--School Of Dentistry 11092 Anderson Street, Loma Linda, CA 92354. The listed phone number is (909) 558-4613.

What is Loma Linda Univeristy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Loma Linda Univeristy was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.