Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MONTCLAIR PLAZA DENTAL GROUP
Active
Organization
MONTCLAIR PLAZA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY B PATEL (OWNER/DDS)
(909) 920-0696
Entity
Organization
Contact information
Practice address
5182 N MONTCLAIR PLAZA LN, MONTCLAIR, CA 91763-1515
(909) 626-3566
(909) 626-6112
Mailing address
8660 CENTRAL AVE, MONTCLAIR, CA 91763-1692
(909) 920-0696
(909) 920-0517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/08/2007
Last updated
05/16/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up