PACIFIC PEDIATRIC DENTISTRY
NPI 1144739715
Dentist - Pediatric Dentistry in San Luis Obispo, CA

Active since September 26, 2017
1231 OSOS ST, SAN LUIS OBISPO, CA 93401(805) 544-3434(805) 544-3443 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Pediatric Dentistry NPPES

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

PACIFIC PEDIATRIC DENTISTRY (NPI 1144739715) is a healthcare organization registered as a pediatric dentistry in San Luis Obispo, California and active in the NPI registry since September 2017. The organization lists Eun Ha You, Owner, as its authorized official.

NPPES Registry Identity

NPI1144739715
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePACIFIC PEDIATRIC DENTISTRY
Location Address1231 OSOS STSan Luis Obispo, CA 93401-3619
Mailing Address1231 Osos StSan Luis Obispo, CA 93401-3619 · (805) 544-3434 · Fax (805) 544-3443
Fax(805) 544-3443
Organization SubpartNo
Authorized OfficialEun Ha YouOwner · (805) 544-3434
Enumeration DateSeptember 26, 2017
Last NPPES UpdateJuly 21, 2022
NPI 1144739715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 54656
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.
1231 OSOS ST, San Luis Obispo, CA 93401

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Dentist (Pediatric Dentistry)
1231 OSOS ST
SAN LUIS OBISPO, CA 93401
Dentist (Pediatric Dentistry)
1231 OSOS ST
SAN LUIS OBISPO, CA 93401
Dentist (Pediatric Dentistry)
1231 OSOS ST
SAN LUIS OBISPO, CA 93401
Dentist (General Practice)
1231 OSOS ST
SAN LUIS OBISPO, CA 93401

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 Pacific Pediatric Dentistry's NPI number?

The NPI number for Pacific Pediatric Dentistry is 1144739715. It was assigned to this organization in the NPPES registry on September 26, 2017.

Where is Pacific Pediatric Dentistry located?

Pacific Pediatric Dentistry is located at 1231 Osos St, San Luis Obispo, CA 93401. The listed phone number is (805) 544-3434.

What is Pacific Pediatric Dentistry'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 Pacific Pediatric Dentistry was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.