OrganizationActive
Wildwood Dental Group
NPI 1659798262 · General Practice Dentistry · San Bernardino, CA
Wildwood Dental Group is a General Practice Dentistry organization in San Bernardino, CA (NPI 1659798262).
Provider details
- NPI number
- 1659798262
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Irene Justin, President(909) 886-4864
- License
- 51084 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3972 N Waterman Ave
San Bernardino, CA 92404-1700
Phone: (909) 886-4864
Street-level locationGet directions
Mailing address
2413 S Grove Ave
Ontario, CA 91761-6225
Registry dates
- Enumerated
- 2014-03-20
- Last updated
- 2014-05-27
Frequently asked questions
- What is Wildwood Dental Group's NPI number?
- Wildwood Dental Group's National Provider Identifier (NPI) is 1659798262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wildwood Dental Group?
- Wildwood Dental Group is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Wildwood Dental Group located?
- Wildwood Dental Group's practice location on file with NPPES is 3972 N Waterman Ave, San Bernardino, CA 92404-1700.
- What is Wildwood Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Wildwood Dental Group is (909) 886-4864.
- Who is the authorized official for Wildwood Dental Group?
- The authorized official listed on Wildwood Dental Group's NPPES record is Irene Justin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wildwood Dental Group's NPI active?
- Yes — Wildwood Dental Group's NPI (1659798262) is active in the NPPES registry as of the last update on 2014-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.