OrganizationActive
Jorge Enciso, DDS, Inc.
NPI 1447829338 · Dental Clinic/Center · Yucaipa, CA
Provider details
- NPI number
- 1447829338
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jorge Enciso, Dentist(909) 910-5824
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
34366 Yucaipa Blvd Ste K
Yucaipa, CA 92399-2497
Phone: (909) 797-9247
Fax: (909) 797-8587
Street-level locationGet directions
Mailing address
13554 Douglas St
Yucaipa, CA 92399-5517
Registry dates
- Enumerated
- 2021-06-23
- Last updated
- 2021-06-23
- Certified
- 2021-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.