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MAIN STREET DENTAL GROUP
NPI 1154413912
Dentist - General Practice in Corona, CA

Active since September 29, 2006CLIA 05D2287678 · Waiver
131 W ONTARIO AVE, STE. 102, CORONA, CA 92882(951) 898-9700(951) 898-9779 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Main Street Dental Group NPPES

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

MAIN STREET DENTAL GROUP (NPI 1154413912) is a healthcare organization registered as a general practice in Corona, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Charles F Rodgers, Owner Dds, as its authorized official.

NPPES Registry Identity

NPI1154413912
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCF RODGERS DDS INC
Location Address131 W ONTARIO AVE, STE. 102Corona, CA 92882-5274
Mailing Address2860 Michelle, 2nd FloorIrvine, CA 92606-1009 · (714) 508-3600 · Fax (714) 368-2092
Phone(951) 898-9700
Fax(951) 898-9779
Organization SubpartNo
Authorized OfficialCharles F RodgersOwner Dds · (951) 898-9700
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJune 3, 2009
✔ NPI 1154413912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
131 W ONTARIO AVE, Corona, CA 92882
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Other Names 1

Doing Business AsMain Street Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2287678

Main Street Dental Group · Corona, CA
Active · expires Aug 15, 2027
CLIA Number05D2287678
Laboratory TypePractitioner Other
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorDeepika Dhama
Laboratory Phone(951) 898-9700
Laboratory LocationMain Street Dental Group131 W Ontario Ave Suite 102, Corona, CA 92882
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

CHARLES F RODGERS DENTAL CORPORATION
Dentist (General Practice)
131 W ONTARIO AVE, STE. 102
CORONA, CA 92882
Riverside County (951) 898-9700
TANYA THARANI
Dentist
131 W ONTARIO AVE
CORONA, CA 92882
Riverside County (951) 898-9700

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 Cf Rodgers Dds Inc's NPI number?

The NPI number for Cf Rodgers Dds Inc is 1154413912. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is doing business as Main Street Dental Group.

Where is Cf Rodgers Dds Inc located?

Cf Rodgers Dds Inc is located at 131 W Ontario Ave Ste. 102, Corona, CA 92882. The listed phone number is (951) 898-9700.

What is Cf Rodgers Dds Inc's specialty?

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

Does Cf Rodgers Dds Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2287678) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cf Rodgers Dds Inc was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.