OrganizationActive
Moreno Dental Group, Pdc
NPI 1790866309 · Dentist · Stockton, CA
Moreno Dental Group, Pdc is a Dentist organization in Stockton, CA (NPI 1790866309).
Provider details
- NPI number
- 1790866309
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Janice Moreno, President, Treas.(209) 478-3036
- License
- 34387 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 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
3427 Deer Park Dr
Suite #c
Stockton, CA 95219-2355
Phone: (209) 478-3036
Fax: (209) 478-0258
Street-level locationGet directions
Mailing address
3427 Deer Park Dr
Stockton, CA 95219-2355
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2025-09-11
Frequently asked questions
- What is Moreno Dental Group, Pdc's NPI number?
- Moreno Dental Group, Pdc's National Provider Identifier (NPI) is 1790866309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moreno Dental Group, Pdc?
- Moreno Dental Group, Pdc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Moreno Dental Group, Pdc located?
- Moreno Dental Group, Pdc's practice location on file with NPPES is 3427 Deer Park Dr, Stockton, CA 95219-2355.
- What is Moreno Dental Group, Pdc's phone number?
- The practice phone number listed in the NPPES registry for Moreno Dental Group, Pdc is (209) 478-3036.
- Who is the authorized official for Moreno Dental Group, Pdc?
- The authorized official listed on Moreno Dental Group, Pdc's NPPES record is Janice Moreno, President, Treas.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moreno Dental Group, Pdc's NPI active?
- Yes — Moreno Dental Group, Pdc's NPI (1790866309) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.