OrganizationActive
Pacific Smile Dental Clinic
NPI 1073987707 · Dentist · Moreno Valley, CA
Pacific Smile Dental Clinic is a Dentist organization in Moreno Valley, CA (NPI 1073987707).
Provider details
- NPI number
- 1073987707
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Maritza Mondragon, Front Office(951) 924-6370
- License
- 47031 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25025 Red Maple Ln Ste 105
Moreno Valley, CA 92551-1137
Phone: (951) 924-6370
Fax: (951) 924-6374
Street-level locationGet directions
Mailing address
25025 Red Maple Ln Ste 105
Moreno Valley, CA 92551-1137
Registry dates
- Enumerated
- 2015-11-18
- Last updated
- 2015-11-18
Frequently asked questions
- What is Pacific Smile Dental Clinic's NPI number?
- Pacific Smile Dental Clinic's National Provider Identifier (NPI) is 1073987707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Smile Dental Clinic?
- Pacific Smile Dental Clinic is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Pacific Smile Dental Clinic located?
- Pacific Smile Dental Clinic's practice location on file with NPPES is 25025 Red Maple Ln Ste 105, Moreno Valley, CA 92551-1137.
- What is Pacific Smile Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Pacific Smile Dental Clinic is (951) 924-6370.
- Who is the authorized official for Pacific Smile Dental Clinic?
- The authorized official listed on Pacific Smile Dental Clinic's NPPES record is Maritza Mondragon, Front Office. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Smile Dental Clinic's NPI active?
- Yes — Pacific Smile Dental Clinic's NPI (1073987707) is active in the NPPES registry as of the last update on 2015-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.