Erika L Belle, DDS

Individual provider Active NPI General Practice Dentistry · San Jacinto, CA

NPI 1215420120 · NPPES record last updated Aug 31, 2020

Key facts

NPI
1215420120
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7486 (NE)
Practice address
1643 S San Jacinto Ave Ste 100&101
San Jacinto, CA 92583-5181
Phone
(909) 380-7701
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
105414CAMDDentist
7486NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Hoover DDS PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105414 CA
General Practice Dentistry 1223G0001X 7486 NE Yes

Addresses

Primary practice location

1643 S San Jacinto Ave Ste 100&101
San Jacinto, CA 92583-5181

Mailing address

7348 Blondo St
Omaha, NE 68134-6910

Other names

  • Dr. Erika L Schwanke Former name

Other providers in San Jacinto, CA

All providers in San Jacinto, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.