DR. JENNA KHOURY D.M.D.
NPI 1255648424
Dentist - Pediatric Dentistry in La Jolla, CA

Q: What is Jenna Khoury's NPI number?

The NPI number for Jenna Khoury is 1255648424. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Q: What is Jenna Khoury's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jenna Khoury was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 08, 2010

4165 EXECUTIVE DR, F201, LA JOLLA, CA 92037(858) 335-5645 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jenna Khoury D.m.d. NPPES

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

DR. JENNA KHOURY D.M.D. (NPI 1255648424) is an individual pediatric dentistry provider in La Jolla, California, licensed in California (60986) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1255648424

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. JENNA KHOURYCredential: D.M.D.

Location Address4165 EXECUTIVE DR, F201La Jolla, CA 92037-1364

Mailing Address4165 Executive Dr, F201La Jolla, CA 92037-1364 · (858) 335-5645

Phone(858) 335-5645

Sole ProprietorNo

Enumeration DateSeptember 8, 2010

Last NPPES UpdateJune 28, 2012

✔ NPI 1255648424 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 · 60986

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.

4165 EXECUTIVE DR, La Jolla, CA 92037

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Jenna Khoury's NPI number?

The NPI number for Jenna Khoury is 1255648424. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Where is Jenna Khoury located?

Jenna Khoury practices at 4165 Executive Dr F201, La Jolla, CA 92037. The listed phone number is (858) 335-5645.

What is Jenna Khoury's specialty?

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

What insurance does Jenna Khoury accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Jenna Khoury as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenna Khoury was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.