JL Lopez Bendezu Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JL LOPEZ BENDEZU DENTAL CORP

Doing business as

San Bernardino Dental Studio

Practice address

2500 Del Rosa Ave
San Bernardino, CA 92404-4442

Phone

(909) 713-2041

Fax

(909) 713-2073

NPI assigned

Jul 2, 2024

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Luis Lopez Bendezu, DDSNPI 1033626247

Title

Dentist

Phone

(909) 713-2041

Specialties & licenses 1

Addresses

Other names 1

• SAN BERNARDINO DENTAL STUDIO Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Luis Lopez Bendezu, DDS

  • General Practice Dentistry
  • Baldwin Park, CA
  • NPI 1033626247
  NPD Authorized official
• Sergio Eduardo Corbaton Rodriguez, DDS

  • Dentist
  • San Bernardino, CA
  • NPI 1508786138
  NPD (past)

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1154167849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DEL ROSA AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044442",
            "telephone_number": "909-713-2041",
            "fax_number": "909-713-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DEL ROSA AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044442",
            "telephone_number": "909-713-2041",
            "fax_number": "909-713-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL LOPEZ BENDEZU DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ BENDEZU",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-713-2041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN BERNARDINO DENTAL STUDIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moniqua Angel Jimenez
• Nicole Jimenez
• Odalys Jimenez
• Jimmy Nguyen D.D.S., Inc
• Jin K Lee DDS Corporation
• JMK Medical Clinic
• Won-Seok Jo, M.D.
• Joel Ombao Inc.
• John R Evans MD
• Kimberly John

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, 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 Jul 8, 2024; 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.