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FONTANA MODERN DENTISTRY, INC
NPI 1730974007
Dentist - General Practice in Fontana, CA

Active since April 09, 2025
10189 CITRUS AVE, SUITE 500, FONTANA, CA 92335(909) 657-2736 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fontana Modern Dentistry, Inc NPPES

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

FONTANA MODERN DENTISTRY, INC (NPI 1730974007) is a healthcare organization registered as a general practice in Fontana, California and active in the NPI registry since April 2025. The organization lists Jason Sun, Owner, as its authorized official.

NPPES Registry Identity

NPI1730974007
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFONTANA MODERN DENTISTRY, INC
Location Address10189 CITRUS AVE, SUITE 500Fontana, CA 92335
Mailing AddressPo Box 660041Dallas, TX 75266-0041
Phone(909) 657-2736
Organization SubpartNo
Authorized OfficialJason SunOwner · (714) 845-8500
Enumeration DateApril 9, 2025
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1730974007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
10189 CITRUS AVE, Fontana, CA 92335
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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

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 Fontana Modern Dentistry, Inc's NPI number?

The NPI number for Fontana Modern Dentistry, Inc is 1730974007. It was assigned to this organization in the NPPES registry on April 9, 2025.

Where is Fontana Modern Dentistry, Inc located?

Fontana Modern Dentistry, Inc is located at 10189 Citrus Ave Suite 500, Fontana, CA 92335. The listed phone number is (909) 657-2736.

What is Fontana Modern Dentistry, 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 Fontana Modern Dentistry, Inc was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.