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Moreno Dental Group, Pdc

Dentist in Stockton, CA · enumerated 2006 · authorized official Janice Moreno, President, Treas..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790866309

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Registry record

Entity type Organization (Type 2)
Legal business name Moreno Dental Group, Pdc
Practice address 3427 Deer Park Dr, Suite #C, Stockton, CA, 95219
Phone (209) 478-3036
Fax (209) 478-0258
Enumeration date Oct 18, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

122300000X Dentist Dental Providers · License 34387 (CA) Secondary
122300000X Dentist Dental Providers · License 54645 (CA) Primary
1223P0300X Periodontics Dental Providers · License 32491 (CA) Secondary

Authorized official

Name Janice Moreno
Title President, Treas.
Phone (209) 478-3036

Other identifiers

Identifier Type State Issuer
1860612 Other CA STATE CORPORATION NUMBER
33195579 Other CA STATE OF CAL. EDD NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Moreno Dental Group, Pdc?
NPPES lists Janice Moreno (President, Treas.) as the authorized official for this organization.
What is the NPI number for Moreno Dental Group, Pdc?
The NPI for Moreno Dental Group, Pdc is 1790866309, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.