Palacios Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PALACIOS DENTAL CORP

Practice address

695 W Highland Ave
San Bernardino, CA 92405-3812

Phone

(909) 881-5007

Fax

(909) 881-5000

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ana Ysabel Palacios, D.D.S

Title

Dentist

Phone

(909) 881-5007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1558629261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 W HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053812",
            "telephone_number": "909-881-5007",
            "fax_number": "909-881-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 W HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053812",
            "telephone_number": "909-881-5007",
            "fax_number": "909-881-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACIOS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "YSABEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-881-5007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidie Kay Page, LCSW
• Kyle Paguio
• James Pahuyo
• Shantharam Pai, M.D.
• Jennifer Palacio
• Denice Palacios, ASW
• Lily Ana Palacios
• Marlen Palacios
• Alma M Palisoc, M.D.
• Palm Imaging Institute, a Medical Corporation

• 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 May 1, 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.