LAKE JACKSON MODERN DENTISTRY
NPI 1821472507
Dentist in Irvine, CA

Q: What is Lake Jackson Modern Dentistry, PC's NPI number?

The NPI number for Lake Jackson Modern Dentistry, PC is 1821472507. It was assigned to this organization in the NPPES registry on July 13, 2015. The provider is doing business as Lake Jackson Modern Dentistry.

Q: What is Lake Jackson Modern Dentistry, PC's specialty?

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

Active since July 13, 2015

17000 RED HILL AVE, IRVINE, CA 92614(714) 845-8890(949) 474-1495 Get Directions Write a Review

NPPES record last updated: July 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Jackson Modern Dentistry NPPES

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

LAKE JACKSON MODERN DENTISTRY (NPI 1821472507) is a healthcare organization registered as a dentist in Irvine, California and active in the NPI registry since July 2015. The organization lists John S Barnes, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1821472507

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLAKE JACKSON MODERN DENTISTRY, PC

Location Address17000 RED HILL AVEIrvine, CA 92614-5626

Mailing Address97 Oyster Creek Dr Suite 130Lake Jackson, TX 77566 · (979) 583-6005 · Fax (979) 583-6680

Phone(714) 845-8890

Fax(949) 474-1495

Organization SubpartNo

Authorized OfficialJohn S BarnesOwner Doctor · (979) 583-6005

Enumeration DateJuly 13, 2015

✔ NPI 1821472507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

17000 RED HILL AVE, Irvine, CA 92614

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Other Names 1

Doing Business AsLake Jackson Modern Dentistry

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

WEST COBB DENTIST OFFICE, PC

Dentist

17000 RED HILL AVE
IRVINE, CA 92614

Orange County (678) 203-3464

RICKY V TRAN DENTAL CORPORATION

Dentist (General Practice)

17000 RED HILL AVE
IRVINE, CA 92614

Orange County (714) 845-8890

WINDERMERE DENTAL GROUP,PC

Dentist

17000 RED HILL AVE
IRVINE, CA 92614

Orange County (714) 845-8890

CALLAWAY-NELSON LEMMON VALLEY DENTAL GROUP PC

Dentist (General Practice)

17000 RED HILL AVE
IRVINE, CA 92614

Orange County (714) 845-8890

OAKLAND PARK MODERN DENTISTRY PA

Dentist (General Practice)

17000 RED HILL AVE
IRVINE, CA 92614

Orange County (714) 845-8890

SHENANDOAH SMILES DENTISTRY, PC

Dentist

17000 RED HILL AVE
IRVINE, CA 92614

Orange County (714) 845-8890

GHAZAL AND SHARIFIAN DENTAL CORPORATION

Dentist (General Practice)

17000 RED HILL AVE, SUITE D
IRVINE, CA 92614

Orange County (949) 975-0150

HIDDEN LAKE DENTAL GROUP, LLP

Dentist (General Practice)

17000 RED HILL AVE
IRVINE, CA 92614

Orange County (303) 427-4001

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 Lake Jackson Modern Dentistry, PC's NPI number?

The NPI number for Lake Jackson Modern Dentistry, PC is 1821472507. It was assigned to this organization in the NPPES registry on July 13, 2015. The provider is doing business as Lake Jackson Modern Dentistry.

Where is Lake Jackson Modern Dentistry, PC located?

Lake Jackson Modern Dentistry, PC is located at 17000 Red Hill Ave, Irvine, CA 92614. The listed phone number is (714) 845-8890.

What is Lake Jackson Modern Dentistry, PC's specialty?

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

What insurance does Lake Jackson Modern Dentistry, PC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Lake Jackson Modern Dentistry, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Jackson Modern Dentistry, PC was last updated on July 13, 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.