EAGLE GLEN DENTAL GROUP
NPI 1417128034
Dentist - General Practice in Corona, CA

NPI Status: Active since March 24, 2008

Contact Information

3811 BEDFORD CANYON RD STE 105
CORONA, CA
ZIP 92883
Phone: (951) 270-0211
Fax: (951) 270-0702

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  • Organization
  • Dentist
  • General Practice

About EAGLE GLEN DENTAL GROUP

This page provides the complete NPI Profile along with additional information for Eagle Glen Dental Group, a provider established in Corona, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1417128034 assigned on March 2008. The practitioner's primary taxonomy code is 1223G0001X with license number 53643 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. Eagle Glen Dental Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Eagle Glen Dental Group. The authorized official of this NPI record is Dr. Pauline Pham Wong Dds (President)

NPI
1417128034
Provider Legal Name
WONG & PHAM DDS, INC.
Other Organization Name
EAGLE GLEN DENTAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3811 BEDFORD CANYON RD STE 105 CORONA, CA 92883
Location Phone
(951) 270-0211
Location Fax
(951) 270-0702
Mailing Address
PO BOX 27250 ANAHEIM, CA 92809
Mailing Phone
(951) 270-0211
Mailing Fax
(951) 270-0702
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2008
Last Update Date
03-24-2008
Code Navigator

A dentist like Eagle Glen Dental Group is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
53643
License State
CA
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PAULINE PHAM WONG DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(951) 270-0211

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417128034, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 2 + 2 + 1 + 6 + 0 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1417128034.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
3811 BEDFORD CANYON RD STE 105
CORONA, CA 92883
Dentist (Orthodontics and Dentofacial Orthopedics)
3811 BEDFORD CANYON RD STE 105
CORONA, CA 92883

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417128034, enumerated as an "organization" on March 24, 2008.

The provider is located at 3811 BEDFORD CANYON RD STE 105 CORONA, CA 92883 and the phone number is (951) 270-0211.

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