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PERES DENTAL CLINIC
NPI 1306274147
Dentist - General Practice in Richmond, CA

Active since October 14, 2013
719 5TH ST, RICHMOND, CA 94801(510) 231-1407 Get Directions Write a Review

NPPES record last updated: October 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peres Dental Clinic NPPES

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

PERES DENTAL CLINIC (NPI 1306274147) is a healthcare organization registered as a general practice in Richmond, California and active in the NPI registry since October 2013. The organization lists Jawan Eldridge, Principal, as its authorized official.

NPPES Registry Identity

NPI1306274147
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePERES DENTAL CLINIC
Location Address719 5TH STRichmond, CA 94801-2654
Mailing Address719 5th StRichmond, CA 94801-2654 · (510) 231-1407
Phone(510) 231-1407
Organization SubpartNo
Authorized OfficialJawan EldridgePrincipal · (510) 231-1407
Enumeration DateOctober 14, 2013
✔ NPI 1306274147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
719 5TH ST, Richmond, CA 94801
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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 3

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

MATTHEW HARTSOCK
Psychologist (School)
719 5TH ST
RICHMOND, CA 94801
Contra Costa County (510) 231-1407
BAY AREA COMMUNITY RESOURCES, INC
Community/Behavioral Health
719 5TH ST
RICHMOND, CA 94801
Contra Costa County (510) 231-1407
PERES ELEMENTARY SCHOOL
Dentist
719 5TH ST
RICHMOND, CA 94801
Contra Costa County (510) 231-1407

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 Peres Dental Clinic's NPI number?

The NPI number for Peres Dental Clinic is 1306274147. It was assigned to this organization in the NPPES registry on October 14, 2013.

Where is Peres Dental Clinic located?

Peres Dental Clinic is located at 719 5th St, Richmond, CA 94801. The listed phone number is (510) 231-1407.

What is Peres Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Peres Dental Clinic was last updated on October 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.