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: July 19, 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
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396175071, enumerated as an "organization" on November 18, 2013.

The provider is located at 44853 PORTOLA AVENUE STE B PALM DESERT, CA 92260 and the phone number is (760) 346-1414.

Preferred Provider Organization with taxonomy code 305R00000X.