Norma L Andronic, DDS
Individual provider Active NPI Dentist · Jurupa Valley, CA
NPI 1104029073 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1104029073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 53897 (CA)
- Practice address
- 6445 Pats Ranch Rd Ste G
Jurupa Valley, CA 91752-4439 - Phone
- (951) 808-5881
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhama and Rodgers Dental Corporation | General Practice | Past |
Accepting new patients |
| Michael D Crawford DDS Inc | Dentist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 53897 | CA | |
| Dentist | 122300000X | 53897 | CA | Yes |
Addresses
Primary practice location
6445 Pats Ranch Rd Ste G
Jurupa Valley, CA 91752-4439
Mailing address
2744 Cape Dr
Corona, CA 92882-5764
Phone (619) 729-9834
Other providers in Jurupa Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.