JORGE L. GERONIMO, DDS PROF. DENTAL CORP.
NPI 1265809065
Preferred Provider Organization in Riverside, CA

Q: What is Jorge L. Geronimo, Dds Prof. Dental Corp.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since August 27, 2015

9720 MAGNOLIA AVE SUITE #100, RIVERSIDE, CA 92503(951) 696-3663(951) 696-3887 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2020, Mar 19, 2018 (2 updates tracked since 2018).

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About Jorge L. Geronimo, Dds Prof. Dental Corp. NPPES

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

JORGE L. GERONIMO, DDS PROF. DENTAL CORP. (NPI 1265809065) is a healthcare organization registered as a preferred provider organization in Riverside, California and active in the NPI registry since August 2015. The organization lists Jorge Luis Geronimo, Dentist, as its authorized official.

NPPES Registry Identity

NPI1265809065

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameJORGE L. GERONIMO, DDS PROF. DENTAL CORP.

Location Address9720 MAGNOLIA AVE SUITE #100Riverside, CA 92503

Mailing Address9720 Magnolia Ave Suite 100Riverside, CA 92503 · (951) 696-3663 · Fax (951) 696-3887

Phone(951) 696-3663

Fax(951) 696-3887

Organization SubpartYesParent: Pacific Dental Clinic

Authorized OfficialJorge Luis GeronimoDentist · (714) 267-6400

Enumeration DateAugust 27, 2015

Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration

✔ NPI 1265809065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

License✔ Licensed in CA · 47897

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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 Jorge L. Geronimo, Dds Prof. Dental Corp.'s NPI number?

The NPI number for Jorge L. Geronimo, Dds Prof. Dental Corp. is 1265809065. It was assigned to this organization in the NPPES registry on August 27, 2015.

Where is Jorge L. Geronimo, Dds Prof. Dental Corp. located?

Jorge L. Geronimo, Dds Prof. Dental Corp. is located at 9720 Magnolia Ave Suite #100, Riverside, CA 92503. The listed phone number is (951) 696-3663.

What is Jorge L. Geronimo, Dds Prof. Dental Corp.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Jorge L. Geronimo, Dds Prof. Dental Corp. was last updated on January 3, 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.