JS LID DDS, INC.
NPI 1720471055
Dentist - General Practice in Rancho Cucamonga, CA

Q: What is Js Lid Dds, Inc.'s NPI number?

The NPI number for Js Lid Dds, Inc. is 1720471055. It was assigned to this organization in the NPPES registry on March 11, 2015.

Q: What is Js Lid Dds, Inc.'s specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Js Lid Dds, Inc. was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 11, 2015

9791 BASELINE RD., RANCHO CUCAMONGA, CA 91730(909) 987-8779(909) 987-2815 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Js Lid Dds, Inc. NPPES

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

JS LID DDS, INC. (NPI 1720471055) is a healthcare organization registered as a general practice in Rancho Cucamonga, California and active in the NPI registry since March 2015. The organization lists Johnny Lid, President, as its authorized official.

NPPES Registry Identity

NPI1720471055

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJS LID DDS, INC.

Location Address9791 BASELINE RD.Rancho Cucamonga, CA 91730

Mailing Address9791 Baseline Rd.Rancho Cucamonga, CA 91730 · (909) 987-8779 · Fax (909) 987-2815

Phone(909) 987-8779

Fax(909) 987-2815

Organization SubpartNo

Authorized OfficialJohnny LidPresident · (676) 320-3611

Enumeration DateMarch 11, 2015

✔ NPI 1720471055 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 · 51966

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.

9791 BASELINE RD., Rancho Cucamonga, CA 91730

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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

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 Js Lid Dds, Inc.'s NPI number?

The NPI number for Js Lid Dds, Inc. is 1720471055. It was assigned to this organization in the NPPES registry on March 11, 2015.

Where is Js Lid Dds, Inc. located?

Js Lid Dds, Inc. is located at 9791 Baseline Rd., Rancho Cucamonga, CA 91730. The listed phone number is (909) 987-8779.

What is Js Lid Dds, Inc.'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 Js Lid Dds, Inc. was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.