Mario Pureco, D.D.S.,Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58625 Issued in CA

Legal business name

MARIO PURECO, D.D.S.,INC.

Doing business as

Garey Dental

Practice address

1541 S Garey Ave
Pomona, CA 91766-5222

Phone

(909) 469-6485

Fax

(909) 784-1378

NPI assigned

Sep 7, 2012

Last updated

Sep 7, 2012By 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

Mario Pureco, D.D.S.NPI 1194957969

Title

President

Phone

(909) 469-6485

Specialties & licenses 1

Addresses

Other names 1

• GAREY DENTAL 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, and the practitioner matching its NPPES authorized official.

• Mario Pureco, D.D.S

  • General Practice Dentistry
  • Upland, CA
  • NPI 1194957969
  NPD (past) Authorized official

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1356690184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 S GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665222",
            "telephone_number": "909-469-6485",
            "fax_number": "909-784-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 S GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665222",
            "telephone_number": "909-469-6485",
            "fax_number": "909-784-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO PURECO, D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "PURECO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-469-6485",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GAREY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Marikian
• David Marin, MSW, ASW
• Janell R Marin
• Oscar Marin
• Michael Marinello
• Cristian Mariscal
• Samantha Pixie Mariscal
• Emily Rose Marlen
• Marline Sangnil MD Inc
• Jennifer Lynn Marmolejo, ACSW

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, 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 Sep 7, 2012; 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.