Dr. Jeannie B. Garcia Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. JEANNIE B. GARCIA DENTAL INC

Practice address

617 N Azusa Ave
Covina, CA 91722-3504

Phone

(626) 332-4777

Fax

(626) 332-4781

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeannie Banez Garcia, D.M.D.NPI 1578782868

Title

Dentist

Phone

(626) 480-7777

Specialties & licenses 2

Addresses

Other names 1

• Baldwin Park Dental Office Doing business as

Locations

Practitioners 1

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

• Jeannie Banez Garcia, D.D.S.

  • General Practice Dentistry
  • Covina, CA
  • NPI 1578782868
  NPD Authorized official

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1982922522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 STERLING WAY",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064223",
            "telephone_number": "626-480-7777",
            "fax_number": "626-480-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N AZUSA AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223504",
            "telephone_number": "626-332-4777",
            "fax_number": "626-332-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEANNIE B. GARCIA DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JEANNIE BANEZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-480-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50437",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwin Park Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lisa Monique Duarte
• Robyn Elizabeth Dubrow, MS, PPSS

• Dental Clinic/Center in Covina, CA
• Providers in Covina, 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 Mar 4, 2020; 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.