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ESPARZA DENTISTRY INC. NPI 1124382296


NPI Information

NPI: 1124382296
Provider Name: ESPARZA DENTISTRY INC.

Former Legal Business Name: BLANCA M. ESPARZA D.D.S.

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
786 E FOOTHILL BLVD
STE D
RIALTO, CA
ZIP 92376
Phone: (909) 874-7870
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ESPARZA DENTISTRY INC. is a general practice dentist in Rialto, CA. The provider is 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. ESPARZA DENTISTRY INC. NPI is 1124382296. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Blanca M. Esparza D.d.s..

The provider's business location address is:

786 E FOOTHILL BLVD
STE D
RIALTO, CA
ZIP 92376-285
Phone: (909) 874-7870
Fax: (909) 986-6179

The provider's authorized official is Oscar B Esparza .
The authorized official title is President and has the following contact phone number (909) 874-7870.

The enumeration date for this NPI number is 7/3/2012 and was last updated on 9/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B41648-02MEDICAIDCALIFORNIA
2D45252-02MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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