MORENO DENTAL GROUP, PDC
NPI 1790866309
Dentist in Stockton, CA

Active since October 18, 2006
3427 DEER PARK DR, SUITE #C, STOCKTON, CA 95219(209) 478-3036(209) 478-0258 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Moreno Dental Group, Pdc NPPES

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

MORENO DENTAL GROUP, PDC (NPI 1790866309) is a healthcare organization registered as a dentist in Stockton, California and active in the NPI registry since October 2006. The organization lists Janice Gale Moreno, President, Treas., as its authorized official.

NPPES Registry Identity

NPI1790866309
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMORENO DENTAL GROUP, PDC
Location Address3427 DEER PARK DR, SUITE #CStockton, CA 95219-2355
Mailing Address3427 Deer Park Dr, Suite #cStockton, CA 95219-2355 · (209) 478-3036 · Fax (209) 478-0258
Fax(209) 478-0258
Organization SubpartNo
Authorized OfficialJanice Gale MorenoPresident, Treas. · (209) 478-3036
Enumeration DateOctober 18, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1790866309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in CA · 54645 Licensed in CA · 34387
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 32491 (CA)

Other Identifiers 2

Other1860612CA · State Corporation Number
Other33195579CA · State Of Cal. Edd Number

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 11

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

Dentist (Endodontics)
3427 DEER PARK DR, SUITE A
STOCKTON, CA 95219
Dentist (Oral and Maxillofacial Surgery)
3427 DEER PARK DR, SUTIE B
STOCKTON, CA 95219
Dentist (Endodontics)
3427 DEER PARK DR, SUITE A
STOCKTON, CA 95219
Dentist (Oral and Maxillofacial Surgery)
3427 DEER PARK DR, SUITE B
STOCKTON, CA 95219
Dentist (Orthodontics and Dentofacial Orthopedics)
3427 DEER PARK DR, SUITE D
STOCKTON, CA 95219
Dentist (Endodontics)
3427 DEER PARK DR, SUITE A
STOCKTON, CA 95219
Dentist
3427 DEER PARK DR, SUITE #C
STOCKTON, CA 95219
Dentist (Oral and Maxillofacial Surgery)
3427 DEER PARK DR, SUITE B
STOCKTON, CA 95219

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 Moreno Dental Group, Pdc's NPI number?

The NPI number for Moreno Dental Group, Pdc is 1790866309. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Moreno Dental Group, Pdc located?

Moreno Dental Group, Pdc is located at 3427 Deer Park Dr Suite #c, Stockton, CA 95219. The listed phone number is (209) 478-3036.

What is Moreno Dental Group, Pdc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Moreno Dental Group, Pdc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.