OrganizationActive
Marilou P. Medina, DMD, Inc.
NPI 1669642963 · General Practice Dentistry · Fontana, CA
Marilou P. Medina, DMD, Inc. is a General Practice Dentistry organization in Fontana, CA (NPI 1669642963).
Provider details
- NPI number
- 1669642963
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Marilou Medina, Dentist(909) 355-6400
- License
- 44340 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
14451 Foothill Blvd.
Suite 104
Fontana, CA 92335
Phone: (909) 355-6400
Fax: (909) 355-6411
Street-level locationGet directions
Mailing address
14451 Foothill Blvd.
Fontana, CA 92335
Other names (DBA / former)
- Doing business as
- Maryknoll Dental Office of Marilou P. Medina, DMD, Inc.
Registry dates
- Enumerated
- 2008-03-03
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Frequently asked questions
- What is Marilou P. Medina, DMD, Inc.'s NPI number?
- Marilou P. Medina, DMD, Inc.'s National Provider Identifier (NPI) is 1669642963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marilou P. Medina, DMD, Inc.?
- Marilou P. Medina, DMD, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Marilou P. Medina, DMD, Inc. located?
- Marilou P. Medina, DMD, Inc.'s practice location on file with NPPES is 14451 Foothill Blvd., Fontana, CA 92335.
- What is Marilou P. Medina, DMD, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Marilou P. Medina, DMD, Inc. is (909) 355-6400.
- Who is the authorized official for Marilou P. Medina, DMD, Inc.?
- The authorized official listed on Marilou P. Medina, DMD, Inc.'s NPPES record is Marilou Medina, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marilou P. Medina, DMD, Inc.'s NPI active?
- Yes — Marilou P. Medina, DMD, Inc.'s NPI (1669642963) is active in the NPPES registry as of the last update on 2020-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.