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WILDWOOD DENTAL GROUP
NPI 1659798262
Dentist - General Practice in San Bernardino, CA

Active since March 20, 2014
3972 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 886-4864 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wildwood Dental Group NPPES

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

WILDWOOD DENTAL GROUP (NPI 1659798262) is a healthcare organization registered as a general practice in San Bernardino, California and active in the NPI registry since March 2014. The organization lists Irene M Justin, President, as its authorized official.

NPPES Registry Identity

NPI1659798262
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILDWOOD DENTAL GROUP
Location Address3972 N WATERMAN AVESan Bernardino, CA 92404-1700
Mailing Address2413 S Grove AveOntario, CA 91761-6225 · (909) 886-4864
Phone(909) 886-4864
Organization SubpartNo
Authorized OfficialIrene M JustinPresident · (909) 886-4864
Enumeration DateMarch 20, 2014
Last NPPES UpdateMay 27, 2014
✔ NPI 1659798262 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 · 51084
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.
3972 N WATERMAN AVE, San Bernardino, CA 92404
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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

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. MAX J QUEZADA D.D.S.
Dentist
3972 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (951) 264-1733
BLESSING COMMUNITY HEALTH CENTER
Preventive Medicine (Public Health & General Preventive Medicine)
3972 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 433-9700
ASH M DASON DDS, A PROFFESIONAL DENTAL CORP
Dentist
3972 N WATERMAN AVE, SUIT 110
SAN BERNARDINO, CA 92404
San Bernardino County (909) 888-6581
MEHTA DENTAL CORPORATION
Dentist (General Practice)
3972 N WATERMAN AVE, STE. 110
SAN BERNARDINO, CA 92404
San Bernardino County (951) 886-4864

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 Wildwood Dental Group's NPI number?

The NPI number for Wildwood Dental Group is 1659798262. It was assigned to this organization in the NPPES registry on March 20, 2014.

Where is Wildwood Dental Group located?

Wildwood Dental Group is located at 3972 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 886-4864.

What is Wildwood Dental Group'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 Wildwood Dental Group was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.