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BEAR CREEK DENTAL GROUP AND ORTHODONTICS
NPI 1477652618
Dentist - General Practice in Wildomar, CA

Active since September 22, 2006CLIA 05D2287673 · Waiver
36068 HIDDEN SPRINGS RD, SUITE H, WILDOMAR, CA 92595(951) 678-0790(951) 678-0796 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Bear Creek Dental Group And Orthodontics NPPES

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

BEAR CREEK DENTAL GROUP AND ORTHODONTICS (NPI 1477652618) is a healthcare organization registered as a general practice in Wildomar, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Bryan K Watanabe, Owner Dds, as its authorized official.

NPPES Registry Identity

NPI1477652618
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDO-YABUT AND WATANABE DENTAL CORPORATION
Location Address36068 HIDDEN SPRINGS RD, SUITE HWildomar, CA 92595-7679
Mailing Address2860 Michelle Drive, 2nd FloorIrvine, CA 92606-1009 · (714) 508-3600 · Fax (714) 368-2092
Phone(951) 678-0790
Fax(951) 678-0796
Organization SubpartNo
Authorized OfficialBryan K WatanabeOwner Dds · (951) 678-0790
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 5, 2012
✔ NPI 1477652618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 40130✔ Licensed in CA · 49784
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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 38130 (CA)
36068 HIDDEN SPRINGS RD, Wildomar, CA 92595
Open in Google Maps ↗

Other Names 1

Doing Business AsBear Creek Dental Group And Orthodontics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2287673

Bear Creek Dental Group · Wildomar, CA
Active · expires Aug 15, 2027
CLIA Number05D2287673
Laboratory TypePractitioner Other
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorDiana Do Yabut
Laboratory Phone(951) 678-0790
Laboratory LocationBear Creek Dental Group36068 Hidden Springs Rd Ste H, Wildomar, CA 92595
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. AMANDA ASHLEY MERCER DDS
Dentist
36068 HIDDEN SPRINGS RD
WILDOMAR, CA 92595
Riverside County (951) 678-0790
DR. DIANA SONG DO-YABUT DMD
Dentist
36068 HIDDEN SPRINGS RD, STE H
WILDOMAR, CA 92595
Riverside County (951) 678-0790
KARDEA OWENS
Dental Hygienist
36068 HIDDEN SPRINGS RD
WILDOMAR, CA 92595
Riverside County (760) 672-4113
ERENE ATTALLA
Dentist
36068 HIDDEN SPRINGS RD, STE H
WILDOMAR, CA 92595
Riverside County (951) 579-4065

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 Do-Yabut And Watanabe Dental Corporation's NPI number?

The NPI number for Do-Yabut And Watanabe Dental Corporation is 1477652618. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Bear Creek Dental Group And Orthodontics.

Where is Do-Yabut And Watanabe Dental Corporation located?

Do-Yabut And Watanabe Dental Corporation is located at 36068 Hidden Springs Rd Suite H, Wildomar, CA 92595. The listed phone number is (951) 678-0790.

What is Do-Yabut And Watanabe Dental Corporation's specialty?

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

Does Do-Yabut And Watanabe Dental Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2287673) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Do-Yabut And Watanabe Dental Corporation was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.