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General NPI Number Information
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NPI Number | 1912402959
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Entity Type | Organization
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Legal Business Name | JEFFREY C. BARRERA D.D.S. INC.
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 30901 GATEWAY PL. F-5
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City | RANCHO MISSION VIEJO
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State | CA
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Zip | 92694-1858
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Country | US
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Telephone | 949-371-8533
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Fax | 949-449-8444
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Provider Business Mailing Address
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Address Line | 30901 GATEWAY PL. F-5
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City | RANCHO MISSION VIEJO
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State | CA
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Zip | 92694-1858
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Country | US
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Telephone | 949-371-8533
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Fax | 949-449-8444
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY C BARRERA
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Credential | DDS
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Telephone | 949-371-8533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 40914
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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