OrganizationActive
Lucero Dental Clinic
NPI 1104955475 · General Practice Dentistry · Garden Grove, CA
Provider details
- NPI number
- 1104955475
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Martha Lucero, Owner and President(714) 534-9480
- License
- 35947 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
12833 Harbor Blvd
Suite F 3
Garden Grove, CA 92840-5806
Phone: (714) 534-9480
Fax: (714) 534-9482
Street-level locationGet directions
Mailing address
12833 Harbor Blvd
Garden Grove, CA 92840-5806
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2012-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.