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

Dr. Michael Robert Moreno, DDS

Individual provider Periodontics · NPI 1356422000

Dr. Michael Robert Moreno, DDS is a Periodontics in Stockton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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.

See every abbreviation used in this directory →

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

Periodontics (primary) Taxonomy 1223P0300X · Licence 32491 (CA)

Record details

NPI number1356422000
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3427 Deer Park Dr, Suite #C, Stockton, CA 95219-2355

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