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

Q: What is Irene M Justin Wildwood Dental Group's NPI number?

The NPI number for Irene M Justin Wildwood Dental Group is 1689900870. It was assigned to this organization in the NPPES registry on October 23, 2009.

Q: What is Irene M Justin Wildwood Dental Group's specialty?

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

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: August 16, 2026.

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene M Justin Wildwood Dental Group's NPI number?

The NPI number for Irene M Justin Wildwood Dental Group is 1689900870. It was assigned to this organization in the NPPES registry on October 23, 2009.

Where is Irene M Justin Wildwood Dental Group located?

Irene M Justin Wildwood Dental Group is located at 3972 N Waterman Ave Ste 110, San Bernardino, CA 92404. The listed phone number is (909) 947-9700.

What is Irene M Justin 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 Irene M Justin Wildwood Dental Group was last updated on October 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.