George Ji Jun Tao, DDS - Medicare Dentist in Alta Loma, CA

George Ji Jun Tao, DDS is a medicare enrolled "Dentist" provider in Alta Loma, California. His current practice location is 6626 Carnelian St, Alta Loma, California. You can reach out to his office (for appointments etc.) via phone at (909) 987-4113.

George Ji Jun Tao is licensed to practice in California (license number 42703) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194867788.

Contact Information

George Ji Jun Tao, DDS
6626 Carnelian St,
Alta Loma, CA 91701
(909) 987-4113
(909) 987-3673



Healthcare Provider's Profile

Full NameGeorge Ji Jun Tao
GenderMale
SpecialityDentist
Location6626 Carnelian St, Alta Loma, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194867788
  • Provider Enumeration Date: 02/12/2007
  • Last Update Date: 09/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3173843083
  • Enrollment ID: I20150515002228

Medical Identifiers

Medical identifiers for George Ji Jun Tao such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194867788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 42703 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. George Ji Jun Tao is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
George Ji Jun Tao, DDS
9588 Baseline Rd. Ste 100,
Rancho Cucamonga, CA 91701-6439

Ph: (909) 987-4113
George Ji Jun Tao, DDS
6626 Carnelian St,
Alta Loma, CA 91701

Ph: (909) 987-4113

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› Verified 3 days ago


Dentist in Alta Loma, CA

Dr. Kristin Joy Smits, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10458 Vivienda St, Alta Loma, CA 91737
Phone: 805-722-7187    
Mr. Johnny S Liu, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 7168 Archibald Ave, Suite 200, Alta Loma, CA 91701
Phone: 909-944-3120    Fax: 909-483-3957
Dr. Wendy Sugiono, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9482 Baseline Rd, Alta Loma, CA 91701
Phone: 909-980-1411    Fax: 909-980-7061
Milan Manoj Irvin, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9330 Baseline Rd, Ste 108, Alta Loma, CA 91701
Phone: 510-387-5812    
C Mark Keen, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9606 Baseline Rd, Alta Loma, CA 91701
Phone: 909-989-6661    Fax: 909-989-6663
Terry F Brock, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7283 Carnelian St, Alta Loma, CA 91701
Phone: 909-987-6268    Fax: 909-987-2441

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