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NORTH HEACOCK DENTAL GROUP
NPI 1669540084
Dentist - General Practice in Moreno Valley, CA

Active since December 01, 2006
11401 HEACOCK ST, SUITE 320, MORENO VALLEY, CA 92557(951) 247-7040(951) 247-5092 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Heacock Dental Group NPPES

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

NORTH HEACOCK DENTAL GROUP (NPI 1669540084) is a healthcare organization registered as a general practice in Moreno Valley, California and active in the NPI registry since December 2006. The organization lists David L Reagan, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1669540084
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDAVID REAGAN & ROBERT SMITH DDS SMITH ROBERT F GEN PTR.
Location Address11401 HEACOCK ST, SUITE 320Moreno Valley, CA 92557-9998
Mailing Address11401 Heacock St, Suite 320Moreno Valley, CA 92557-9998 · (951) 247-7040 · Fax (951) 247-5092
Phone(951) 247-7040
Fax(951) 247-5092
Organization SubpartNo
Authorized OfficialDavid L ReaganOwner/partner · (951) 247-7040
Enumeration DateDecember 1, 2006
Last NPPES UpdateJanuary 20, 2020
✔ NPI 1669540084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · DH32166✔ Licensed in CA · DB31029
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.
11401 HEACOCK ST, Moreno Valley, CA 92557
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Other Names 1

Doing Business AsNorth Heacock Dental Group

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

Other Providers at the Same Location NPPES 5

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

DR. ROBERT F SMITH DDS
Dentist
11401 HEACOCK ST, SUITE 320
MORENO VALLEY, CA 92557
Riverside County (951) 247-7040
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Pediatrics
11401 HEACOCK ST, SUITE 330
MORENO VALLEY, CA 92557
Riverside County (951) 247-8697
JANICE TSAI M.D.
Pediatrics
11401 HEACOCK ST, SUITE 330
MORENO VALLEY, CA 92557
Riverside County (951) 247-8697
DAVID L REAGAN DDS
Dentist
11401 HEACOCK ST, SUITE 320
MORENO VALLEY, CA 92557
Riverside County (951) 247-7040
THERAPEUTIC SLEEP LAB OF RIVERSIDE
Clinical Medical Laboratory
11401 HEACOCK ST, SUITE 340
MORENO VALLEY, CA 92557
Riverside County (877) 836-8227

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 David Reagan & Robert Smith Dds Smith Robert F Gen Ptr.'s NPI number?

The NPI number for David Reagan & Robert Smith Dds Smith Robert F Gen Ptr. is 1669540084. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as North Heacock Dental Group.

Where is David Reagan & Robert Smith Dds Smith Robert F Gen Ptr. located?

David Reagan & Robert Smith Dds Smith Robert F Gen Ptr. is located at 11401 Heacock St Suite 320, Moreno Valley, CA 92557. The listed phone number is (951) 247-7040.

What is David Reagan & Robert Smith Dds Smith Robert F Gen Ptr.'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 David Reagan & Robert Smith Dds Smith Robert F Gen Ptr. was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.