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

Dr. Jack Bourklian, DDS

Individual provider Dentist · NPI 1801136494

Dr. Jack Bourklian, DDS is a Dentist in Victorville, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

15290 Bear Valley Rd #B
Victorville, CA 92395-8515
Phone: (760) 951-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 62218 (CA)

Record details

NPI number1801136494
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 19, 2013
Last updated in NPPESMarch 11, 2013
Mailing address301 N San Dimas Canyon Rd, 101, San Dimas, CA 91773-2741

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