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Moreno Dental Group, Pdc
Periodontist in Stockton, California
NPI 1790866309

Moreno Dental Group, Pdc is a Periodontist based in Stockton, CA and is specialized in Periodontics. Moreno Dental Group, Pdc practices in Stockton, CA. The NPI Number for Moreno Dental Group, Pdc is 1790866309 and holds a License No. 34387 (California).

The current practice location address for Moreno Dental Group, Pdc is 3427 Deer Park Dr, Stockton, CA and can be reached out via phone at 209-478-3036 and via fax at 209-478-0258. You can also correspond with Moreno Dental Group, Pdc through the mailing address at 3427 DEER PARK DR, STOCKTON, CA - 95219-2355 (mailing address contact number: 209-478-3036).

Location: 3427 Deer Park Dr, Stockton, CA, 95219-2355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790866309
Provider Name
Moreno Dental Group, Pdc
Credential
Provider Entity Type
Organization
Address
3427 Deer Park Dr, Stockton, CA, 95219-2355
Phone Number
209-478-3036
Fax Number
209-478-0258
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1860612 01 CA STATE CORPORATION NUMBER
33195579 01 CA STATE OF CAL. EDD NUMBER
institution
Provider Business Practice Location Address Details
Address
3427 Deer Park Dr
City
Stockton
State
California
Zip
95219-2355
Phone Number
209-478-3036
Fax Number
209-478-0258
person
Provider Business Mailing Address Details
Address
3427 Deer Park Dr
City
Stockton
State
California
Zip
95219-2355
Phone Number
209-478-3036
Fax Number
209-478-0258
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
54645 (California)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
34387 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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