PABLO ENRIQUE LICIAGA DDS
NPI 1033126677
Dentist in San Diego, CA

Active since August 02, 2006
2115 BACON ST, SAN DIEGO, CA 92107(619) 224-2986(619) 224-2982 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pablo Enrique Liciaga Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PABLO ENRIQUE LICIAGA DDS (NPI 1033126677) is an individual dentist in San Diego, California, licensed in California (49365) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1033126677
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePABLO ENRIQUE LICIAGACredential: DDS
Location Address2115 BACON STSan Diego, CA 92107
Mailing Address2115 Bacon StSan Diego, CA 92107 · (619) 224-2986 · Fax (619) 224-2982
Fax(619) 224-2982
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1033126677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 49365
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2115 BACON ST, San Diego, CA 92107

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2115 BACON ST
SAN DIEGO, CA 92107
Dentist
2115 BACON ST
SAN DIEGO, CA 92107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pablo Liciaga's NPI number?

The NPI number for Pablo Liciaga is 1033126677. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Pablo Liciaga located?

Pablo Liciaga practices at 2115 Bacon St, San Diego, CA 92107. The listed phone number is (619) 224-2986.

What is Pablo Liciaga's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Pablo Liciaga accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Pablo Liciaga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pablo Liciaga was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.