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A. PEDERSEN DENTAL CORPORATION
NPI 1043173628
Dentist - Pediatric Dentistry in San Luis Obispo, CA

Active since December 09, 2025
4251 S HIGUERA ST STE 401, SAN LUIS OBISPO, CA 93401(805) 922-9626(805) 922-9177 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About A. Pedersen Dental Corporation NPPES

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

A. PEDERSEN DENTAL CORPORATION (NPI 1043173628) is a healthcare organization registered as a pediatric dentistry in San Luis Obispo, California and active in the NPI registry since December 2025. The organization lists Anne Pedersen, Dentist, as its authorized official.

NPPES Registry Identity

NPI1043173628
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameA. PEDERSEN DENTAL CORPORATION
Location Address4251 S HIGUERA ST STE 401San Luis Obispo, CA 93401-7714
Mailing Address1414 S Miller St Ste JSanta Maria, CA 93454-6915 · (805) 922-9626 · Fax (805) 922-9177
Phone(805) 922-9626
Fax(805) 922-9177
Organization SubpartNo
Authorized OfficialAnne PedersenDentist · (805) 922-9626
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1043173628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4251 S HIGUERA ST STE 401, San Luis Obispo, CA 93401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

A. PEDERSEN DENTAL CORPORATION
Dentist (Pediatric Dentistry)
4251 S HIGUERA ST STE 401
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 922-9626
TOLOSA CHILDRENS DENTAL CENTER
Dentist (Pediatric Dentistry)
4251 S HIGUERA ST STE 401
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 238-2216

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 A. Pedersen Dental Corporation's NPI number?

The NPI number for A. Pedersen Dental Corporation is 1043173628. It was assigned to this organization in the NPPES registry on December 9, 2025.

Where is A. Pedersen Dental Corporation located?

A. Pedersen Dental Corporation is located at 4251 S Higuera St Ste 401, San Luis Obispo, CA 93401. The listed phone number is (805) 922-9626.

What is A. Pedersen Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for A. Pedersen Dental Corporation was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.