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MARVIN E. OTA, DDS
NPI 1699901082
Dentist - General Practice in Yucaipa, CA

Active since May 31, 2009
11834 BRYANT ST, SUITE 103, YUCAIPA, CA 92399(909) 797-8090 Get Directions Write a Review

NPPES record last updated: May 31, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marvin E. Ota, Dds NPPES

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

MARVIN E. OTA, DDS (NPI 1699901082) is a healthcare organization registered as a general practice in Yucaipa, California and active in the NPI registry since May 2009. The organization lists Marvin Eiji Ota, Owner, as its authorized official.

NPPES Registry Identity

NPI1699901082
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARVIN E. OTA, DDS
Location Address11834 BRYANT ST, SUITE 103Yucaipa, CA 92399-3815
Mailing Address11834 Bryant St, Suite 103Yucaipa, CA 92399-3815 · (909) 797-8090
Phone(909) 797-8090
Organization SubpartNo
Authorized OfficialMarvin Eiji OtaOwner · (909) 797-8090
Enumeration DateMay 31, 2009
✔ NPI 1699901082 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 · 28214
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.
11834 BRYANT ST, Yucaipa, CA 92399
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Other Identifiers 1

MedicaidB28214-01CA

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

OTA DENTAL CORP
Health Maintenance Organization
11834 BRYANT ST, #103
YUCAIPA, CA 92399
San Bernardino County (909) 797-8090
STEVEN MARK WOLFRAM DDS
Dentist (General Practice)
11834 BRYANT ST, SUITE #104
YUCAIPA, CA 92399
San Bernardino County (909) 797-1452
DR. WILLIAM BRENT COFFMAN DDS
Dentist
11834 BRYANT ST, STE 101
YUCAIPA, CA 92399
San Bernardino County (909) 797-2741

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 Marvin E. Ota, Dds's NPI number?

The NPI number for Marvin E. Ota, Dds is 1699901082. It was assigned to this organization in the NPPES registry on May 31, 2009.

Where is Marvin E. Ota, Dds located?

Marvin E. Ota, Dds is located at 11834 Bryant St Suite 103, Yucaipa, CA 92399. The listed phone number is (909) 797-8090.

What is Marvin E. Ota, Dds'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 Marvin E. Ota, Dds was last updated on May 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.