DAVID REAGAN & ROBERT SMITH DDS SMITH ROBERT F GEN PTR. NPI 1669540084

NPI Information

  • NPI: 1669540084
  • Provider Name: DAVID REAGAN & ROBERT SMITH DDS SMITH ROBERT F GEN PTR.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: NORTH HEACOCK DENTAL GROUP
  • Address: 11401 HEACOCK ST
    SUITE 320
    MORENO VALLEY, CA
    ZIP 92557
  • Phone: (951) 247-7040

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NPI Details

DAVID REAGAN & ROBERT SMITH DDS SMITH ROBERT F GEN PTR. is a general practice dentist in Moreno Valley, 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. DAVID REAGAN & ROBERT SMITH DDS SMITH ROBERT F GEN PTR. NPI is 1669540084. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As North Heacock Dental Group.

The provider's business location address is:

11401 HEACOCK ST
SUITE 320
MORENO VALLEY, CA
ZIP 92557-998
Phone: (951) 247-7040
Fax: (951) 247-5092

The provider's authorized official is David L Reagan .
The authorized official title is Owner/partner and has the following contact phone number (951) 247-7040.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 1/20/2020.

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 PracticeDH32166CALIFORNIAYes
21223G0001XDentistGeneral PracticeDB31029CALIFORNIANo

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: 11/21/2025

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