DR. PHILIP MALDONADO DMD
NPI 1306255351
Dentist in Blythe, CA

Q: What is Philip Maldonado's NPI number?

The NPI number for Philip Maldonado is 1306255351. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Q: What is Philip Maldonado's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Maldonado was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 04, 2014

19025 WILEYS WELL RD, BLYTHE, CA 92225(760) 922-5300(714) 992-0759 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2020, Oct 9, 2019 (2 updates tracked since 2019).

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About Dr. Philip Maldonado Dmd NPPES

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

DR. PHILIP MALDONADO DMD (NPI 1306255351) is an individual dentist in Blythe, California, licensed in California (63483) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1306255351

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. PHILIP MALDONADOCredential: DMD

Location Address19025 WILEYS WELL RDBlythe, CA 92225-2287

Mailing Address19025 Wileys Well RdBlythe, CA 92225-2287 · (760) 922-5300 · Fax (714) 992-0759

Phone(760) 922-5300

Fax(714) 992-0759

Sole ProprietorNo

Enumeration DateAugust 4, 2014

Last NPPES UpdateDecember 1, 20202 updates tracked since enumeration

NPPES CertifiedDecember 1, 2020

✔ NPI 1306255351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 63483

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

19025 WILEYS WELL RD, Blythe, CA 92225

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