Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moreno Dental Group, Pdc

Organization Dentist · NPI 1790866309

Moreno Dental Group, Pdc provides Dentist services in Stockton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3

Practice location Address checks out

3427 Deer Park Dr Ste #C
Stockton, CA 95219-2355
Phone: (209) 478-3036
Fax: (209) 478-0258
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 54645 (CA)
Dentist Taxonomy 122300000X · Licence 34387 (CA)
Periodontics Taxonomy 1223P0300X · Licence 32491 (CA)

Record details

NPI number1790866309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janice Moreno — President, Treas. · (209) 478-3036
NPI enumeratedOctober 18, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address3427 Deer Park Dr, Suite #C, Stockton, CA 95219-2355

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