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DENTAL SPECIALTIES 2ND DR, JESSE A PROFESSIONAL CORPORATION
NPI 1285179697
Point of Service in Victorville, CA

Active since December 21, 2016
15401 ANACAPA RD STE 3, VICTORVILLE, CA 92392(760) 951-9304(951) 396-3335 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dental Specialties 2nd Dr, Jesse A Professional Corporation NPPES

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

DENTAL SPECIALTIES 2ND DR, JESSE A PROFESSIONAL CORPORATION (NPI 1285179697) is a healthcare organization registered as a point of service in Victorville, California and active in the NPI registry since December 2016. The organization lists James Jesse, Dds/owner, as its authorized official.

NPPES Registry Identity

NPI1285179697
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameDENTAL SPECIALTIES 2ND DR, JESSE A PROFESSIONAL CORPORATION
Location Address15401 ANACAPA RD STE 3Victorville, CA 92392-2466
Mailing Address15401 Anacapa Rd Ste 3Victorville, CA 92392-2466 · (760) 951-9304 · Fax (951) 396-3335
Phone(760) 951-9304
Fax(951) 396-3335
Organization SubpartNo
Authorized OfficialJames JesseDds/owner · (760) 951-9304
Enumeration DateDecember 21, 2016
✔ NPI 1285179697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in CA · 23785
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
15401 ANACAPA RD STE 3, Victorville, CA 92392
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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.

DR. RUSEN VICTORVILLE FRIENDLY SMILES DENTAL INC.
Dentist
15401 ANACAPA RD STE 3
VICTORVILLE, CA 92392
San Bernardino County (213) 324-6000
DR. SOBHA ALLADA DDS
Dentist (General Practice)
15401 ANACAPA RD STE 3
VICTORVILLE, CA 92392
San Bernardino County (760) 951-9304

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 Dental Specialties 2nd Dr, Jesse A Professional Corporation's NPI number?

The NPI number for Dental Specialties 2nd Dr, Jesse A Professional Corporation is 1285179697. It was assigned to this organization in the NPPES registry on December 21, 2016.

Where is Dental Specialties 2nd Dr, Jesse A Professional Corporation located?

Dental Specialties 2nd Dr, Jesse A Professional Corporation is located at 15401 Anacapa Rd Ste 3, Victorville, CA 92392. The listed phone number is (760) 951-9304.

What is Dental Specialties 2nd Dr, Jesse A Professional Corporation's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Dental Specialties 2nd Dr, Jesse A Professional Corporation was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.