POMONA DENTAL PRACTICE
NPI 1366599060
Dentist - General Practice in Pomona, CA

Active since January 04, 2007
1640 INDIAN HILL BLVD, POMONA, CA 91767(909) 482-4500(909) 482-4502 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2021, Mar 16, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Pomona Dental Practice NPPES

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

POMONA DENTAL PRACTICE (NPI 1366599060) is a healthcare organization registered as a general practice in Pomona, California and active in the NPI registry since January 2007. The organization lists Yvonne Shu Rodriguez, President/ Owner, as its authorized official.

NPPES Registry Identity

NPI1366599060
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameYVONNE SHU D.D.S., INC
Location Address1640 INDIAN HILL BLVDPomona, CA 91767-3728
Mailing Address1640 Indian Hill BlvdPomona, CA 91767-3728 · (909) 482-4500 · Fax (909) 482-4502
Fax(909) 482-4502
Organization SubpartNo
Authorized OfficialYvonne Shu RodriguezPresident/ Owner · (909) 482-4500
Enumeration DateJanuary 4, 2007
Last NPPES UpdateApril 7, 20213 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
NPI 1366599060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 41547
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.

1640 INDIAN HILL BLVD, Pomona, CA 91767

Other Names 1

Other NamePomona Dental Practice

Other Identifiers 4

Other771913CA · United Concordia
OtherB41547CA · Healthy Families
MedicaidG9220601CA
MedicaidD41547CA

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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.

Dental Assistant
1640 INDIAN HILL BLVD
POMONA, CA 91767
Dentist (General Practice)
1640 INDIAN HILL BLVD
POMONA, CA 91767

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366599060, enumerated as an "organization" on January 04, 2007.

The provider is located at 1640 INDIAN HILL BLVD POMONA, CA 91767 and the phone number is (909) 482-4500.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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