PACIFIC BAY PEDIATRIC DENTISTRY
NPI 1245549195
Dentist - Pediatric Dentistry in Fremont, CA

Active since September 27, 2010
39572 STEVENSON PL STE 123, FREMONT, CA 94539(510) 404-8033 Get Directions Write a Review

NPPES record last updated: September 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Bay Pediatric Dentistry NPPES

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

PACIFIC BAY PEDIATRIC DENTISTRY (NPI 1245549195) is a healthcare organization registered as a pediatric dentistry in Fremont, California and active in the NPI registry since September 2010. The organization lists Noor Bilbeisi, Owner, as its authorized official.

NPPES Registry Identity

NPI1245549195
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePACIFIC BAY PEDIATRIC DENTISTRY
Location Address39572 STEVENSON PL STE 123Fremont, CA 94539-3109
Mailing Address39572 Stevenson Pl Ste 123Fremont, CA 94539-3109 · (510) 404-8033
Organization SubpartNo
Authorized OfficialNoor BilbeisiOwner · (732) 983-1661
Enumeration DateSeptember 27, 2010
NPI 1245549195 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 · 56548
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.
39572 STEVENSON PL STE 123, Fremont, CA 94539

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 3

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

Clinic/Center (Dental)
39572 STEVENSON PL STE 123
FREMONT, CA 94539
Dentist
39572 STEVENSON PL STE 123
FREMONT, CA 94539
Dentist (Pediatric Dentistry)
39572 STEVENSON PL STE 123
FREMONT, CA 94539

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 Bay Pediatric Dentistry's NPI number?

The NPI number for Pacific Bay Pediatric Dentistry is 1245549195. It was assigned to this organization in the NPPES registry on September 27, 2010.

Where is Pacific Bay Pediatric Dentistry located?

Pacific Bay Pediatric Dentistry is located at 39572 Stevenson Pl Ste 123, Fremont, CA 94539. The listed phone number is (510) 404-8033.

What is Pacific Bay 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 Bay Pediatric Dentistry was last updated on September 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.