BROOKSIDE DENTAL ASSOCIATES
NPI 1629387147
Dentist - General Practice in Redlands, CA

Active since October 01, 2010
12 N 5TH STREET, REDLANDS, CA 92373(909) 798-7111(909) 355-5862 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2021, Jul 23, 2021 (2 updates tracked since 2021).

About Brookside Dental Associates NPPES

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

BROOKSIDE DENTAL ASSOCIATES (NPI 1629387147) is a healthcare organization registered as a general practice in Redlands, California and active in the NPI registry since October 2010. The organization lists Andrzej Lubczuk, Dentist/president, as its authorized official.

NPPES Registry Identity

NPI1629387147
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLUBCZUK DENTAL CORPORATION
Location Address12 N 5TH STREETRedlands, CA 92373
Mailing Address12 N 5th StreetRedlands, CA 92373 · (909) 798-7111 · Fax (909) 355-5862
Fax(909) 355-5862
Organization SubpartNo
Authorized OfficialAndrzej LubczukDentist/president · (909) 489-1174
Enumeration DateOctober 1, 2010
Last NPPES UpdateJuly 26, 20212 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
NPI 1629387147 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 · 42568
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.
12 N 5TH STREET, Redlands, CA 92373

Other Names 1

Doing Business AsBrookside Dental Associates

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

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 Lubczuk Dental Corporation's NPI number?

The NPI number for Lubczuk Dental Corporation is 1629387147. It was assigned to this organization in the NPPES registry on October 1, 2010. The provider is doing business as Brookside Dental Associates.

Where is Lubczuk Dental Corporation located?

Lubczuk Dental Corporation is located at 12 N 5th Street, Redlands, CA 92373. The listed phone number is (909) 798-7111.

What is Lubczuk Dental Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Lubczuk Dental Corporation was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.