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Active NPI 1295291516 Individual Practitioner Male Practitioner

Dr. Russel Rovira Nolasco , DDS

Dentist - General Practice • Upland, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Russel Nolasco, DDS is a registered healthcare professional specializing in Dentist - General Practice in Upland, CA. Official NPI practice address is registered at 1042 N MOUNTAIN AVE STE A2.

Practice Location & Contact Primary Location

Practice Address

1042 N Mountain Ave Ste A2

Upland, CA 917863695

Telephone 9095790623
Fax 9095796483
Associated Practice Facility / Clinic
🏢 Russel R. Nolasco Dds, Inc Facility NPI 1053172106

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Upland, CA

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

Practicing in Upland, 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

CMS Verified: 2024-09-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 103537

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
Dr. Yvette Rivera , DMD

Dentist - General Practice

NPI 1265589527

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location September 30, 2024

Registered at 1042 N MOUNTAIN AVE STE A2, UPLAND, CA 917863695 (Tel: 9095790623)

NPI Profile Active February 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2019

Registered at 41410 JUNIPER ST UNIT 3012, MURRIETA, CA 925627516 (Tel: 7602016519)

📍
Updated Business Mailing Address February 11, 2019

Registered at 41410 JUNIPER ST UNIT 3012, MURRIETA, CA 925627516 (Tel: 7602016519)

👤
Provider Name / Credentials Updated February 11, 2019

Recorded as RUSSEL NOLASCO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2019

Dentist (License #103537 in CA)

🟢
Initial NPI Registration & Enumeration February 11, 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: 1295291516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2019
Last Update: September 30, 2024
Sole Proprietor: No

Mailing Address

41410 Juniper St Unit 3012

Murrieta, CA 925627516

Phone: 7602016519

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.