Pore Dental Group, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

44063 Issued in CA

Legal business name

PORE DENTAL GROUP, INC

Practice address

31205 Pauba Rd
#205
Temecula, CA 92592-6220

Phone

(951) 506-6872

Fax

(951) 506-4712

NPI assigned

Dec 12, 2016

Last updated

Dec 12, 2016By 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

Dr. Dhanesh R Pore, D.D.S.

Title

Owner

Phone

(951) 506-6872

Specialties & licenses 1

Addresses

Tax ID family

Dr Dhanesh R Pore DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Dhanesh R Pore DDS Inc

  • Dental Clinic/Center
  • Murrieta, CA
  • NPI 1548470107
  NPD tax ID

Locations

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1730623695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31205 PAUBA RD",
            "address_2": "#205",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-506-6872",
            "fax_number": "951-506-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31205 PAUBA RD",
            "address_2": "#205",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926220",
            "telephone_number": "951-506-6872",
            "fax_number": "951-506-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORE DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "PORE",
        "authorized_official_first_name": "DHANESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-506-6872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Poliandro
• Sherri Ann Polidoro, M.S.
• Aimee Pommier
• Tania Ponce, PA-C
• Sophia Popal
• Christina M Porter
• Kayla Porter
• Regina Denean Porter
• Elizabeth Portillo, M.S., CCC-SLP
• Sara L Portillo

• Dentist in Temecula, CA
• Providers in Temecula, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.