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PORTOLA DENTAL GROUP
NPI 1396175071
Preferred Provider Organization in Palm Desert, CA

Active since November 18, 2013
44853 PORTOLA AVENUE, STE B, PALM DESERT, CA 92260(760) 346-1414(760) 346-7335 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Portola Dental Group NPPES

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

PORTOLA DENTAL GROUP (NPI 1396175071) is a healthcare organization registered as a preferred provider organization in Palm Desert, California and active in the NPI registry since November 2013. The organization lists Marc Ernest Leblanc, Dentist, as its authorized official.

NPPES Registry Identity

NPI1396175071
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NamePORTOLA DENTAL GROUP
Location Address44853 PORTOLA AVENUE, STE BPalm Desert, CA 92260
Mailing Address44853 Portola Avenue, Ste BPalm Desert, CA 92260 · (760) 346-1414 · Fax (760) 346-7335
Phone(760) 346-1414
Fax(760) 346-7335
Organization SubpartNo
Authorized OfficialMarc Ernest LeblancDentist · (760) 346-1414
Enumeration DateNovember 18, 2013
✔ NPI 1396175071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Licenses✔ Licensed in OK · 51212✔ Licensed in CA · 36169
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
44853 PORTOLA AVENUE, Palm Desert, CA 92260
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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 Portola Dental Group's NPI number?

The NPI number for Portola Dental Group is 1396175071. It was assigned to this organization in the NPPES registry on November 18, 2013.

Where is Portola Dental Group located?

Portola Dental Group is located at 44853 Portola Avenue Ste B, Palm Desert, CA 92260. The listed phone number is (760) 346-1414.

What is Portola Dental Group's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Portola Dental Group was last updated on November 18, 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.