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NPI 1689366247

Pooja Patel

Dentist, General Practice · Rancho Cucamonga, CA

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 2:43 am EDT

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Pooja Patel is a health care provider (Dentist, General Practice) in Rancho Cucamonga, California with National Provider Identifier (NPI) 1689366247. The NPI was issued on May 23, 2023 and the registry record was last updated on Jun 11, 2025. The registry lists a license in California.

Registry record

NPI
1689366247
Type
Individual (NPI-1)
Primary specialty
Dentist, General Practice 1223G0001X
Practice location
11561 Foothill Blvd Ste 104
Rancho Cucamonga, CA 91730-3999
Phone
(949) 656-0473
NPI issued
May 23, 2023
Registry record updated
Jun 11, 2025

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Dentist, General Practice Primary1223G0001XCaliforniaDDS110279
Student in an Organized Health Care Education/Training Program390200000X

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General Practice Dentistry providers in California

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.