Pureco Dental Practice Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PURECO DENTAL PRACTICE INC

Practice address

2135 N Towne Ave
Pomona, CA 91767-2422

Phone

(909) 397-5614

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Mario Pureco, DDSNPI 1194957969

Title

Owner/ Dentist

Phone

(909) 397-5614

Specialties & licenses 1

Addresses

Other names 1

• Towne Dental Group Doing business as

Practitioners 1

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

• Mario Pureco, D.D.S

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

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1558077628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 N TOWNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672422",
            "telephone_number": "909-397-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 N TOWNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672422",
            "telephone_number": "909-397-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURECO DENTAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "PURECO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "909-397-5614",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Towne Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albert Provencio
• Aleksei Pulchritudoff
• Natalie Pulido
• Krishna Anurag Pulumati, MD
• Andrew Steven Pumerantz, D.O.
• Sherri L Purpora, N.P.
• Pvo Helthcare Inc
• Ileana Qayyum
• Luan Qi, L.AC.
• Vivian Qian, PHARM.D

• Dental Clinic/Center in Pomona, CA
• Providers in Pomona, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.