Ionel Georgescu, DDS

Individual provider Active NPI Dentist · Adelanto, CA

NPI 1962514828 · NPPES record last updated Mar 31, 2021

Key facts

NPI
1962514828
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
38287 (CA)
Practice address
11328 Bartlett Ave Ste 3
Adelanto, CA 92301-1913
Phone
(760) 237-8848
Fax
(760) 237-8847
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center Current
since Apr 6, 2021
Accepting new patients

Locations

11328 Bartlett Ave
Ste 3
Adelanto, CA 92301
Phone (760) 237-8848

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38287 CA Yes

Addresses

Primary practice location

11328 Bartlett Ave Ste 3
Adelanto, CA 92301-1913

Mailing address

11328 Bartlett Ave Ste 3
Adelanto, CA 92301-1913
Phone (760) 237-8848

Other providers in Adelanto, CA

All providers in Adelanto, CA · Dentist in California

Sources for this page

Verify at the official NPI Registry.