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

OTA Dental Corp

Organization Health Maintenance Organization · NPI 1043559453

OTA Dental Corp is a Health Maintenance Organization in Yucaipa, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11834 Bryant St #103
Yucaipa, CA 92399-3815
Phone: (909) 797-8090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X · Licence 57849 (CA)

Record details

NPI number1043559453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lora Ota — Owner · (909) 797-8090
NPI enumeratedFebruary 5, 2013
Last updated in NPPESFebruary 5, 2013
Mailing address11834 Bryant St, 103, Yucaipa, CA 92399-3815

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