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BOEHM DENTAL SPECIALISTS PC
NPI 1174417935
Dentist - Periodontics in Fontana, CA

Active since June 05, 2025
16465 SIERRA LAKES PKWY STE 230, FONTANA, CA 92336(909) 775-1200 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boehm Dental Specialists Pc NPPES

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

BOEHM DENTAL SPECIALISTS PC (NPI 1174417935), doing business as Fontana Periodontics And Implantology, is a healthcare organization registered as a periodontics in Fontana, California and active in the NPI registry since June 2025. The organization lists Tobias K Boehm, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1174417935
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBOEHM DENTAL SPECIALISTS PC
Location Address16465 SIERRA LAKES PKWY STE 230Fontana, CA 92336-1242
Mailing Address16465 Sierra Lakes Pkwy Ste 230Fontana, CA 92336-1242
Phone(909) 775-1200
Organization SubpartNo
Authorized OfficialTobias K BoehmOwner Dentist · (909) 740-4476
Enumeration DateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1174417935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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.
16465 SIERRA LAKES PKWY STE 230, Fontana, CA 92336
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Other Names 1

Doing Business AsFontana Periodontics And Implantology

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 Boehm Dental Specialists PC's NPI number?

The NPI number for Boehm Dental Specialists PC is 1174417935. It was assigned to this organization in the NPPES registry on June 5, 2025. The provider is doing business as Fontana Periodontics and Implantology.

Where is Boehm Dental Specialists PC located?

Boehm Dental Specialists PC is located at 16465 Sierra Lakes Pkwy Ste 230, Fontana, CA 92336. The listed phone number is (909) 775-1200.

What is Boehm Dental Specialists PC'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 Boehm Dental Specialists PC was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.