DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MORENO DENTAL GROUP, PDC

Active Organization

MORENO DENTAL GROUP, PDC is a Dentist organization located in STOCKTON, California. NPI 1790866309 is currently active in the NPPES registry. Verify at CMS.

Dentist · STOCKTON, CA

Registration Details

NPI Number
1790866309
Provider Type
Organization
NPI Issued
Oct 18, 2006 (19.81589009047 yrs)
Last Updated
Sep 11, 2025
Licenses
34387 (CA)
32491 (CA)
54645 (CA)

Practice Information

Address
3427 DEER PARK DR
SUITE #C
STOCKTON, CA, 952192355
Browse CA providers · Browse ZIP 95219
Phone
2094783036
Fax
2094780258
Primary Specialty
Dentist
122300000X
Additional Specialty
Periodontology
Additional Specialty
Dentist

Other Dentist Organizations in STOCKTON, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.