Individual provider · Type 1 NPI

Javier Soto-Gastelum, DDS

Dentist · San Bernardino, CA

NPI number 1124970330 Active

Practice location

1655 N Mount Vernon Ave
San Bernardino, CA 92411-1427

Call (909) 601-1323 Map

Mailing address

17792 Smoke Tree St
Hesperia, CA 92345-6260

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X112691 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1124970330

Javier Soto-Gastelum, DDS's National Provider Identifier is 1124970330, issued on Feb 10, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Bernardino, CA. The record was last updated on Feb 12, 2026.