Prieto Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRIETO DENTAL CORPORATION

Doing business as

Clovis Modern Dentistry

Practice address

2320 Clovis Avenue
Suite 102
Clovis, CA 93612

Phone

(559) 472-9978

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Hilda Prieto, DDS

Title

Owner

Phone

(559) 472-9978

Specialties & licenses 1

Addresses

Other names 1

• Clovis Modern Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madeline Miller, DDS

  • Dentist
  • Clovis, CA
  • NPI 1326822784
  NPD

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1235778002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 CLOVIS AVENUE",
            "address_2": "SUITE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93612",
            "telephone_number": "559-472-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIETO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-472-9978",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clovis Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premium Urgent Care, Inc.
• Premium Urgent Care, Inc. (Premium Urgent Care)
• Prestige Adv Med (Budget Movers)
• Maryanita Price, PSYD
• Wendy Price, RN, NP
• Primary Care Consultants, Inc. a Medical Group
• Jasmine Pruell
• Kiana Nicole Pruneda
• Cheryl Manansala Pryor
• Tricia L Pua, MD

• General Practice Dentistry in Clovis, CA
• Providers in Clovis, 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 Dec 27, 2019; 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.