Tagatac Ida a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TAGATAC IDA A DENTAL CORPORATION

Doing business as

Inland Dental Arts a Dental Corporation

Practice address

2015 N Waterman Ave Ste B
San Bernardino, CA 92404-4810

Phone

(909) 713-2077

Fax

(909) 277-7874

NPI assigned

Jul 9, 2021

Last updated

Apr 9, 2026By 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

Philip Tagatac, DMDNPI 1033832019

Title

Dentist

Phone

(949) 322-7138

Specialties & licenses 1

Addresses

Other names 3

• Inland Dental Arts a Dental Corporation Doing business as
• Ozder Ghorbaian a Dental Corp Former legal business name
• Tagatac Ngyuen Ghorbanian a Dental Corp Former legal business name

Locations

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.

• Philip Tagatac, DMD

  • Dentist
  • Lake Forest, CA
  • NPI 1033832019
  NPD Authorized official
• Necdet Ozder, DDS

  • Dentist
  • Fresno, CA
  • NPI 1063571313
  NPD

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1477124493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 N WATERMAN AVE STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044810",
            "telephone_number": "909-713-2077",
            "fax_number": "909-277-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 N WATERMAN AVE STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044810",
            "telephone_number": "909-713-2077",
            "fax_number": "909-277-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAGATAC IDA A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "TAGATAC",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-322-7138",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Dental Arts a Dental Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozder Ghorbaian a Dental Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Tagatac Ngyuen Ghorbanian a Dental Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• T. Van, MD Prof. Medical Corp.
• Valerie Rose Taber, MA
• Benjamin Tabibian
• Sayaka Miyashita Tada
• Neveen Tadros, M.D.
• Tenille Charity Taggart, MA
• Curtis Tague
• Gabriella Rebecca Taguinod, DPT
• Craigeona Tait
• Yessar Takruri, M.D.

• 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 Apr 9, 2026; 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.