1. Home
  2. Directory
  3. California
  4. Anaheim
  5. Preferred Provider Organization
  6. NPI Profile

PACIFIC DENTAL CLINIC
NPI 1750575403
Preferred Provider Organization in Anaheim, CA

Active since September 05, 2007
1201 N EUCLID ST, ANAHEIM, CA 92801(714) 817-8345(714) 224-7688 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pacific Dental Clinic NPPES

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

PACIFIC DENTAL CLINIC (NPI 1750575403) is a healthcare organization registered as a preferred provider organization in Anaheim, California and active in the NPI registry since September 2007. The organization lists Jorge Luis Geronimo, Dentist, as its authorized official.

NPPES Registry Identity

NPI1750575403
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NamePACIFIC DENTAL CLINIC
Location Address1201 N EUCLID STAnaheim, CA 92801-1954
Mailing Address1201 N Euclid StAnaheim, CA 92801-1954 · (714) 817-8345 · Fax (714) 224-7688
Phone(714) 817-8345
Fax(714) 224-7688
Organization SubpartNo
Authorized OfficialJorge Luis GeronimoDentist · (714) 817-8345
Enumeration DateSeptember 5, 2007
✔ NPI 1750575403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in CA · 47897
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1201 N EUCLID ST, Anaheim, CA 92801
Open in Google Maps ↗

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.

JU YOUNG LEE DDS INC
Dentist
1201 N EUCLID ST
ANAHEIM, CA 92801
Orange County (714) 817-8345
YOUNG KIM, DDS, INC.
Dentist (General Practice)
1201 N EUCLID ST
ANAHEIM, CA 92801
Orange County (714) 817-8345
DR. CHRISTINE NGUYEN-QUYNH HOANG DDS
Dentist (General Practice)
1201 N EUCLID ST
ANAHEIM, CA 92801
Orange County (562) 400-6077

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 Pacific Dental Clinic's NPI number?

The NPI number for Pacific Dental Clinic is 1750575403. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is Pacific Dental Clinic located?

Pacific Dental Clinic is located at 1201 N Euclid St, Anaheim, CA 92801. The listed phone number is (714) 817-8345.

What is Pacific Dental Clinic's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Pacific Dental Clinic was last updated on September 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.