Active NPI
G & M Dental Corporation
Doing business as Village Dental Care
- Dentist
- Upland, CA
National Provider Identifier
1578223582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- G & M DENTAL CORPORATION
- Doing business as
- Village Dental Care
- Practice address
- 1227 W Foothill Blvd
Upland, CA 91786-3681 - Phone
- (909) 608-0700
- Fax
- (909) 608-0704
- NPI assigned
- Dec 20, 2021
- Last updated
- Dec 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Roselyn Manalo
- Title
- Credentialing Coordinator
- Phone
- (714) 941-9328
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
1227 W Foothill Blvd
Upland, CA 91786-3681
Mailing address
1227 W Foothill Blvd
Upland, CA 91786-3681
Phone (909) 608-0700
Other names 1
- Village Dental Care
National Provider Directory
National Provider DirectoryLocations
1227 W Foothill Blvd
Upland, CA 91786
Phone (909) 608-0700
Practitioners & affiliated clinicians
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.
-
- Dentist
- Covina, CA
- NPI 1750845368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639958400000",
"number": "1578223582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 W FOOTHILL BLVD",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863681",
"telephone_number": "909-608-0700",
"fax_number": "909-608-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 W FOOTHILL BLVD",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863681",
"telephone_number": "909-608-0700",
"fax_number": "909-608-0704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G & M DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-20",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A",
"authorized_official_last_name": "MANALO",
"authorized_official_first_name": "ROSELYN",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "714-941-9328",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Village Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.