Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194374439 Individual Practitioner Male Practitioner

Dr. Jorge Enciso , DDS

Dentist - General Practice • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jorge Enciso, DDS is a registered healthcare professional specializing in Dentist - General Practice in Riverside, CA. Practice services are available at 10683 MAGNOLIA AVE STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10683 Magnolia Ave Ste D

Riverside, CA 925051893

Telephone 9513241212
Associated Practice Facility / Clinic
🏢 Phuong C. Huynh, Dds, Inc. Facility NPI 1548369069

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
186 Specialists

Practicing in Riverside, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 104037

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1174735153

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2019

Registered at 10683 MAGNOLIA AVE STE D, RIVERSIDE, CA 925051893 (Tel: 9513241212)

📍
Updated Business Mailing Address September 10, 2019

Registered at 13554 DOUGLAS ST, YUCAIPA, CA 923995517 (Tel: 9099105824)

👤
Provider Name / Credentials Updated September 10, 2019

Recorded as JORGE ENCISO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2019

Dentist (License #104037 in CA)

🟢
Initial NPI Registration & Enumeration September 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194374439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2019
Last Update: September 10, 2019
Sole Proprietor: Yes

Mailing Address

13554 Douglas St

Yucaipa, CA 923995517

Phone: 9099105824

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.