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WESTSIDE PEDIATRIC DENTAL GROUP
NPI 1235506312
Dentist - Pediatric Dentistry in Santa Monica, CA

Active since August 25, 2015
1304 15TH ST STE 206, SANTA MONICA, CA 90404(310) 451-5748(310) 393-9528 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Westside Pediatric Dental Group NPPES

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

WESTSIDE PEDIATRIC DENTAL GROUP (NPI 1235506312) is a healthcare organization registered as a pediatric dentistry in Santa Monica, California and active in the NPI registry since August 2015. The organization lists Emmanuel Bernard Gross, Owner, as its authorized official.

NPPES Registry Identity

NPI1235506312
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWESTSIDE PEDIATRIC DENTAL GROUP
Location Address1304 15TH ST STE 206Santa Monica, CA 90404-1811
Mailing Address1304 15th St Ste 206Santa Monica, CA 90404-1811 · (310) 451-5748 · Fax (310) 393-9528
Phone(310) 451-5748
Fax(310) 393-9528
Organization SubpartNo
Authorized OfficialEmmanuel Bernard GrossOwner · (310) 451-5748
Enumeration DateAugust 25, 2015
✔ NPI 1235506312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in CA · 39266✔ Licensed in CA · 59919
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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 31742 (CA)
1304 15TH ST STE 206, Santa Monica, CA 90404
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. EDWARD A DELSHAD DDS
Dentist (General Practice)
1304 15TH ST STE 206
SANTA MONICA, CA 90404
Los Angeles County (310) 451-5748

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 Westside Pediatric Dental Group's NPI number?

The NPI number for Westside Pediatric Dental Group is 1235506312. It was assigned to this organization in the NPPES registry on August 25, 2015.

Where is Westside Pediatric Dental Group located?

Westside Pediatric Dental Group is located at 1304 15th St Ste 206, Santa Monica, CA 90404. The listed phone number is (310) 451-5748.

What is Westside Pediatric Dental Group'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 Westside Pediatric Dental Group was last updated on August 25, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.