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IRENE M JUSTIN WILDWOOD DENTAL GROUP
NPI 1689900870
Dentist - General Practice in San Bernardino, CA

Active since October 23, 2009
3972 N WATERMAN AVE STE 110, SAN BERNARDINO, CA 92404(909) 947-9700 Get Directions Write a Review

NPPES record last updated: October 23, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Irene M Justin Wildwood Dental Group NPPES

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

IRENE M JUSTIN WILDWOOD DENTAL GROUP (NPI 1689900870) is a healthcare organization registered as a general practice in San Bernardino, California and active in the NPI registry since October 2009. The organization lists Irene Justin, President, as its authorized official.

NPPES Registry Identity

NPI1689900870
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIRENE M JUSTIN WILDWOOD DENTAL GROUP
Location Address3972 N WATERMAN AVE STE 110San Bernardino, CA 92404-1767
Mailing Address2413 S Grove AveOntario, CA 91761-6225 · (909) 947-9700
Phone(909) 947-9700
Organization SubpartNo
Authorized OfficialIrene JustinPresident · (951) 536-8419
Enumeration DateOctober 23, 2009
✔ NPI 1689900870 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 STE 110, 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

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

SAM DASON DENTAL CORPORATION
Dentist (General Practice)
3972 N WATERMAN AVE STE 110
SAN BERNARDINO, CA 92404
San Bernardino County (090) 726-1888

Frequently Asked Questions

What is IRENE M JUSTIN WILDWOOD DENTAL GROUP's NPI number?

The NPI number assigned to this healthcare provider is 1689900870, enumerated as an "organization" on October 23, 2009.

Where is the provider located?

The provider is located at 3972 N WATERMAN AVE STE 110 SAN BERNARDINO, CA 92404 and the phone number is (909) 947-9700.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.