Signature Dental Group - Medicare Dental Clinic in Upland, CA

Signature Dental Group is a medicare enrolled dental clinic (Dentist - General Practice) in Upland, California. The current practice location for Signature Dental Group is 1183 E Foothill Blvd, Unit 240, Upland, California. For appointments, you can reach them via phone at (909) 981-6882. The mailing address for Signature Dental Group is 1183 E Foothill Blvd, Unit 240, Upland, California and phone number is (909) 981-6882.

Signature Dental Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912052978. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (909) 981-6882.

Contact Information

Signature Dental Group
1183 E Foothill Blvd
Unit 240
Upland
CA 91786-4049
(909) 981-6882
(909) 981-0276

Map and Direction


Dental Care Clinic Profile

Full NameSignature Dental Group
SpecialityDentist
Location1183 E Foothill Blvd, Upland, California
Authorized Official Name and PositionJason S Lee (CEO)
Authorized Official Contact9099108282
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Signature Dental Group
1183 E Foothill Blvd
Unit 240
Upland
CA 91786-4049

Ph: (909) 981-6882
Signature Dental Group
1183 E Foothill Blvd
Unit 240
Upland
CA 91786-4049

Ph: (909) 981-6882

NPI Details:

NPI Number1912052978
Provider Enumeration Date01/23/2007
Last Update Date12/28/2008

Medicare PECOS Information:

Medicare PECOS PAC ID6507193687
Medicare Enrollment IDO20190813000275

Medical Identifiers

Medical identifiers for Signature Dental Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912052978NPI-NPPES
G98378-01OtherCADELTA HEALTHY FAMILY
01604010OtherCAUNITED CONCORDIA NUMBER
247386OtherCADELTA DENTAL # FOR UPLAND
G93055-01MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Signature Dental Group acts as a billing entity for following providers:
Provider NameJason Lee
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1528112257
PECOS PAC ID: 3173842358
Enrollment ID: I20190814000301
Provider NameFiona C Chan
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1942352703
PECOS PAC ID: 2668792201
Enrollment ID: I20190814000504

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.