RITA T. DERAGOBIAN DDS, INC.
NPI 1295227288
Dentist - Oral and Maxillofacial Surgery in Glendora, CA

Active since June 05, 2018
1435 E ROUTE 66 STE D, GLENDORA, CA 91740(626) 914-3900(626) 914-0019 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 8, 2020, May 9, 2019 (2 updates tracked since 2019).

About Rita T. Deragobian Dds, Inc. NPPES

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

RITA T. DERAGOBIAN DDS, INC. (NPI 1295227288) is a healthcare organization registered as an oral and maxillofacial surgery in Glendora, California and active in the NPI registry since June 2018. The organization lists Rita Deragobian, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1295227288
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameRITA T. DERAGOBIAN DDS, INC.
Location Address1435 E ROUTE 66 STE DGlendora, CA 91740-3748
Mailing Address1435 E Route 66 Ste DGlendora, CA 91740-3748 · (626) 914-3900 · Fax (626) 914-0019
Fax(626) 914-0019
Organization SubpartNo
Authorized OfficialRita DeragobianDentist/owner · (626) 914-3900
Enumeration DateJune 5, 2018
Last NPPES UpdateJanuary 8, 20202 updates tracked since enumeration
NPI 1295227288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 55480 (CA)
1435 E ROUTE 66 STE D, Glendora, CA 91740

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295227288, enumerated as an "organization" on June 05, 2018.

The provider is located at 1435 E ROUTE 66 STE D GLENDORA, CA 91740 and the phone number is (626) 914-3900.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

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