Sandy I Dizon Jr, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53059 Issued in CA

Legal business name

SANDY I DIZON JR, DDS, INC

Practice address

9640 Milliken Ave
Suite 104
Rancho Cucamonga, CA 91730-9000

Phone

(909) 476-2821

Fax

(909) 476-2805

NPI assigned

Apr 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sandy Inton Dizon Jr., D.D.S.NPI 1346787561

Title

President

Phone

(909) 476-2821

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Sandy Inton Dizon Jr., D.D.S.

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1346787561
  NPD (past) Authorized official
• Aina Serrano, D.M.D.

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1083713549
  NPD (past)

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1255865705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 MILLIKEN AVE",
            "address_2": "SUITE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917309000",
            "telephone_number": "909-476-2821",
            "fax_number": "909-476-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 MILLIKEN AVE",
            "address_2": "SUITE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917309000",
            "telephone_number": "909-476-2821",
            "fax_number": "909-476-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY I DIZON JR, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "INTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-476-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisette Sandoval
• Marlen Sandoval
• Sandra Sandoval
• Virginia Sandoval I
• Sandra K Force-Obrowski MD Inc.
• Shagufta Sandy
• Omar Sandiego Sangcaan Jr.
• Mihir Kishor Sanghvi, M.D.
• April Ciji Sansome
• Lissette Alejandra Santacruz

• General Practice Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Apr 11, 2017; 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.