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 is a Dentist 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

Other providers in Stockton