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PROCARE DENTAL GROUP JOEY S. TIRADOR D.D.S. INC. NPI 1023253127


NPI Information

NPI: 1023253127
Provider Name: PROCARE DENTAL GROUP, JOEY S. TIRADOR D.D.S. INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12602 AMARGOSA RD
SUITE 'D'
VICTORVILLE, CA
ZIP 92392
Phone: (760) 951-9997
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PROCARE DENTAL GROUP, JOEY S. TIRADOR D.D.S. INC. is a general practice dentist in Victorville, 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. PROCARE DENTAL GROUP, JOEY S. TIRADOR D.D.S. INC. NPI is 1023253127. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12602 AMARGOSA RD
SUITE 'D'
VICTORVILLE, CA
ZIP 92392-640
Phone: (760) 951-9997
Fax: (760) 962-9424

The provider's authorized official is Joey Soriano Tirador .
The authorized official title is President & Ceo and has the following contact phone number (760) 256-1189.

The enumeration date for this NPI number is 12/4/2008 and was last updated on 9/3/2021.


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
11223G0001XDentistGeneral PracticeCA 50993CALIFORNIAYes

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
1G-94083-02OTHERCALIFORNIAMEDI-CAL

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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