Organization · Type 2 NPI

Ladera Ranch Modern Dentistry, Prof. Corp

General Practice Dentistry · Ladera Ranch, CA

NPI number 1114821014 Active

Practice location

27702 Crown Valley Pkwy Ste A4
Ladera Ranch, CA 92694-0609

Call (949) 354-5268 Map

Fax (949) 347-5883

Mailing address

PO Box 660041
Dallas, TX 75266-0041

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114821014

Ladera Ranch Modern Dentistry, Prof. Corp's National Provider Identifier is 1114821014, issued on Oct 5, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ladera Ranch, CA. The record was last updated on Oct 5, 2026.