EDITH MORA DMD INC. NPI 1245628270

NPI Information

  • NPI: 1245628270
  • Provider Name: EDITH MORA DMD, INC.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 3133 W MARCH LN STE 1080
    STOCKTON, CA
    ZIP 95219
  • Phone: (209) 951-4304

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NPI Details

EDITH MORA DMD, INC. is a general practice dentist in Stockton, 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. EDITH MORA DMD, INC. NPI is 1245628270. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3133 W MARCH LN STE 1080
STOCKTON, CA
ZIP 95219-360
Phone: (209) 951-4304

The provider's authorized official is Edith Ivonne Mora .
The authorized official title is Dentist and has the following contact phone number (209) 462-2452.

The enumeration date for this NPI number is 12/29/2014 and was last updated on 12/2/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice53470CALIFORNIANo
21223G0001XDentistGeneral Practice58214CALIFORNIAYes

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: 3/30/2025

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