SAN JACINTO DENTAL CENTER
NPI 1255544052
Dentist - General Practice in San Jacinto, CA

Active since May 08, 2007
166 E MAIN ST, SUITE 6, SAN JACINTO, CA 92583(951) 654-8005(951) 654-3680 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About San Jacinto Dental Center NPPES

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

SAN JACINTO DENTAL CENTER (NPI 1255544052) is a healthcare organization registered as a general practice in San Jacinto, California and active in the NPI registry since May 2007. The organization lists Jason Lee, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255544052
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSANG PAIK DDS, INC
Location Address166 E MAIN ST, SUITE 6San Jacinto, CA 92583-4200
Mailing Address166 E Main St, Suite 6San Jacinto, CA 92583-4200 · (951) 654-8005 · Fax (951) 654-3680
Fax(951) 654-3680
Organization SubpartNo
Authorized OfficialJason LeeCfo · (951) 654-8005
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 22, 2007
NPI 1255544052 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 · 41861
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.

166 E MAIN ST, San Jacinto, CA 92583

Other Names 1

Doing Business AsSan Jacinto Dental Center

Other Identifiers 1

MedicaidB41861-02CA

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
166 E MAIN ST, #6
SAN JACINTO, CA 92583

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255544052, enumerated as an "organization" on May 08, 2007.

The provider is located at 166 E MAIN ST SUITE 6 SAN JACINTO, CA 92583 and the phone number is (951) 654-8005.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.