Healthcare Provider Details

I. General information

NPI: 1144144221
Provider Name (Legal Business Name): ARTHUR D GAGE DDS A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3731 TIBBETTS ST STE 11
RIVERSIDE CA
92506-2604
US

IV. Provider business mailing address

3731 TIBBETTS ST STE 11
RIVERSIDE CA
92506-2604
US

V. Phone/Fax

Practice location:
  • Phone: 951-787-0440
  • Fax:
Mailing address:
  • Phone: 951-787-0440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: MICHAELA MUNIZ
Title or Position: VP, PAYOR RELATIONS
Credential: MUNIZ
Phone: 469-324-3242