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JIREH LIN DDS
NPI 1205463320
Dentist - General Practice in San Luis Obispo, CA

Active since March 26, 2020
1042 PACIFIC ST STE B, SAN LUIS OBISPO, CA 93401(805) 263-4787 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2021, Mar 26, 2020 (2 updates tracked since 2020).

About Jireh Lin Dds NPPES

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

JIREH LIN DDS (NPI 1205463320) is an individual general practice provider in San Luis Obispo, California, licensed in California (106772) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1205463320
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJIREH LINCredential: DDS
Location Address1042 PACIFIC ST STE BSan Luis Obispo, CA 93401-3661
Mailing AddressPo Box 848Azusa, CA 91702-0848 · (808) 256-7823
Phone(805) 263-4787
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
✔ NPI 1205463320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 106772
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1042 PACIFIC ST STE B, San Luis Obispo, CA 93401
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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.

C F WONG BETA DENTAL INCORPORATED
Clinic/Center (Dental)
1042 PACIFIC ST STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-6963
DR. CORINNA CHELSEA MA DMD
Dentist (General Practice)
1042 PACIFIC ST STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-6963

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 Jireh Lin's NPI number?

The NPI number for Jireh Lin is 1205463320. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Jireh Lin located?

Jireh Lin practices at 1042 Pacific St Ste B, San Luis Obispo, CA 93401. The listed phone number is (805) 263-4787.

What is Jireh Lin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jireh Lin was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.