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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LESLIE HEREDIA
NPI 1649196692
Dentist in Colton, CA

Active since June 24, 2026
930 S MOUNT VERNON AVE, COLTON, CA 92324(909) 660-0097 Get Directions Write a Review

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leslie Heredia NPPES

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

LESLIE HEREDIA (NPI 1649196692) is an individual dentist in Colton, California, licensed in California (393348) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1649196692
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameLESLIE HEREDIA
Location Address930 S MOUNT VERNON AVEColton, CA 92324-3928
Mailing Address9460 Palmetto AveFontana, CA 92335-5969 · (909) 368-5141
Phone(909) 660-0097
Sole ProprietorNo
Enumeration DateJune 24, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1649196692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 393348
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
930 S MOUNT VERNON AVE, Colton, CA 92324
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Other Providers at the Same Location NPPES 13

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

MISS JOSCELYN MARIE JONES BCBA
Behavior Analyst
930 S MOUNT VERNON AVE
COLTON, CA 92324
San Bernardino County (909) 660-0097
TAMMY LYNN LORING
Behavior Technician
930 S MOUNT VERNON AVE
COLTON, CA 92324
San Bernardino County (909) 660-0097
MY BUI
Occupational Therapist
930 S MOUNT VERNON AVE
COLTON, CA 92324
San Bernardino County (909) 763-0814
KENNETH HUGHES
Behavior Technician
930 S MOUNT VERNON AVE
COLTON, CA 92324
San Bernardino County (909) 674-5789
MALAYAH WHITE
Behavior Technician
930 S MOUNT VERNON AVE
COLTON, CA 92324
San Bernardino County (909) 660-0097
LAUREN T LAKEY
Behavior Technician
930 S MOUNT VERNON AVE
COLTON, CA 92324
San Bernardino County (909) 285-8839
TIMOTHY A ELEBECK
Behavior Technician
930 S MOUNT VERNON AVE
COLTON, CA 92324
San Bernardino County (909) 660-0097
MR. KYLE M ROUTHIEAUX
Behavior Technician
930 S MOUNT VERNON AVE
COLTON, CA 92324
San Bernardino County (909) 366-9344

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 Leslie Heredia's NPI number?

The NPI number for Leslie Heredia is 1649196692. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Leslie Heredia located?

Leslie Heredia practices at 930 S Mount Vernon Ave, Colton, CA 92324. The listed phone number is (909) 660-0097.

What is Leslie Heredia's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Leslie Heredia was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.