IRENE M JUSTIN WILDWOOD DENTAL GROUP
NPI 1689900870
Dentist - General Practice in San Bernardino, CA

NPI Status: Active since October 23, 2009

Contact Information

3972 N WATERMAN AVE STE 110
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 947-9700

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  • Organization
  • Dentist
  • General Practice

About IRENE M JUSTIN WILDWOOD DENTAL GROUP

This page provides the complete NPI Profile along with additional information for Irene M Justin Wildwood Dental Group, a provider established in San Bernardino, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1689900870 assigned on October 2009. The practitioner's primary taxonomy code is 1223G0001X with license number 51084 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. Irene M Justin Wildwood Dental Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Irene Justin Dds (President)

NPI
1689900870
Provider Name
IRENE M JUSTIN WILDWOOD DENTAL GROUP
Entity Type
Organization
Location Address
3972 N WATERMAN AVE STE 110 SAN BERNARDINO, CA 92404
Location Phone
(909) 947-9700
Mailing Address
2413 S GROVE AVE ONTARIO, CA 91761
Mailing Phone
(909) 947-9700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2009
Last Update Date
10-23-2009
Code Navigator

A dentist like Irene M Justin Wildwood Dental Group is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
51084
License State
CA
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. IRENE JUSTIN DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(951) 536-8419

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689900870
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691800814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 8 + 0 + 0 + 8 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1689900870 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770359085SAM DASON DENTAL CORPORATION
Organization
Dentist (General Practice)3972 N WATERMAN AVE STE 110
SAN BERNARDINO, CA 92404
(090) 726-1888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689900870, enumerated in the NPI registry as an "organization" on October 23, 2009

The provider is located at 3972 N Waterman Ave Ste 110 San Bernardino, Ca 92404 and the phone number is (909) 947-9700

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on October 23, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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