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

Dr. Maureen Roberta Dornan, DDS

Individual provider General Practice Dentistry · NPI 1477559896

Dr. Maureen Roberta Dornan, DDS is a Dentist in Tustin, California. Qualified in 1981, 45 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
45
Licensed in
CA
In the registry since
2005
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

13422 Newport Ave Ste B
Tustin, CA 92780-3746
Phone: (714) 544-2020
Fax: (714) 544-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 30107 (CA)

Record details

NPI number1477559896
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 21, 2005
Last updated in NPPESOctober 24, 2016
Mailing address13422 Newport Ave, Ste B, Tustin, CA 92780-3746

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Not indicated

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