Calicdan-Sta.Ana DDS Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CALICDAN-STA.ANA DDS CORP

Doing business as

Mount Hill Dental

Practice address

1227 W Foothill Blvd
Upland, CA 91786-3681

Phone

(909) 981-5083

Fax

(909) 981-4213

NPI assigned

May 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carol Calicdan, DDS

Title

Cfo

Phone

(909) 981-5083

Specialties & licenses 1

Addresses

Other names 1

• Mount Hill Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033325147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863681",
            "telephone_number": "909-981-5083",
            "fax_number": "909-981-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863681",
            "telephone_number": "909-981-5083",
            "fax_number": "909-981-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALICDAN-STA.ANA DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALICDAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-981-5083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Hill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Cabrera, DO
• Cajon Medical Group, PC
• Anna Lilia Calcanas, LMFT
• Calcare Hospice LLC
• Moira Cale, FNP
• Carol S Calicdan, DDS
• California Clinical, Assessment, Restoration and Evaluation, a Professional Psychological Corp
• California Clinics, Inc
• California Desert Hospice & Palliative Care, Inc.
• California Radiology Management Inc

• General Practice Dentistry in Upland, CA
• Providers in Upland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.