MARIO PURECO D.D.S
NPI 1194957969
Dentist - General Practice in Upland, CA

Active since August 12, 2009
485 E FOOTHILL BLVD, UPLAND, CA 91786(909) 256-0090(909) 256-0092 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2023, Jul 31, 2019 (2 updates tracked since 2019).

About Mario Pureco D.d.s NPPES

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

MARIO PURECO D.D.S (NPI 1194957969) is an individual general practice provider in Upland, California, licensed in California (58625) and active in the NPI registry since August 2009. He maintains a secondary practice location in Pomona.

NPPES Registry Identity

NPI1194957969
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARIO PURECOCredential: D.D.S
Location Address485 E FOOTHILL BLVDUpland, CA 91786-3987
Mailing Address485 E Foothill Blvd Ste EUpland, CA 91786-3987 · (909) 256-0090
Fax(909) 256-0092
Sole ProprietorNo
Enumeration DateAugust 12, 2009
Last NPPES UpdateJanuary 23, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
NPI 1194957969 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 · 58625
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.

485 E FOOTHILL BLVD, Upland, CA 91786

Secondary Practice Location 1

Location 11541 S Garey AvePomona, CA 91766-5222 · Phone (909) 469-6485

Accepted Insurance

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.

Clinic/Center (Health Service)
485 E FOOTHILL BLVD, SUITE 357
UPLAND, CA 91786
Clinic/Center (Dental)
485 E FOOTHILL BLVD, E
UPLAND, CA 91786

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 Mario Pureco's NPI number?

The NPI number for Mario Pureco is 1194957969. It was assigned to this individual provider in the NPPES registry on August 12, 2009.

Where is Mario Pureco located?

Mario Pureco practices at 485 E Foothill Blvd, Upland, CA 91786. The listed phone number is (909) 256-0090.

What is Mario Pureco's specialty?

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

What insurance does Mario Pureco accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Mario Pureco 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 Mario Pureco was last updated on January 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.