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TOLOSA CHILDRENS DENTAL CENTER
NPI 1295139590
Dentist - Pediatric Dentistry in San Luis Obispo, CA

Active since October 15, 2014
4251 S HIGUERA ST STE 401, SAN LUIS OBISPO, CA 93401(805) 238-2216(805) 238-6470 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tolosa Childrens Dental Center NPPES

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

TOLOSA CHILDRENS DENTAL CENTER (NPI 1295139590) is a healthcare organization registered as a pediatric dentistry in San Luis Obispo, California and active in the NPI registry since October 2014. The organization lists Suzanne Russell, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1295139590
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTOLOSA CHILDRENS DENTAL CENTER
Location Address4251 S HIGUERA ST STE 401San Luis Obispo, CA 93401-7714
Mailing Address717 Walnut DrPaso Robles, CA 93446-2315 · (805) 238-5334
Phone(805) 238-2216
Fax(805) 238-6470
Organization SubpartYesParent: Tolosa Children's Dental Center
Authorized OfficialSuzanne RussellClinic Director · (805) 238-2216
Enumeration DateOctober 15, 2014
Last NPPES UpdateJuly 2, 2019
✔ NPI 1295139590 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 · D50253
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.
4251 S HIGUERA ST STE 401, San Luis Obispo, CA 93401
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Other Names 1

Doing Business AsTolosa Childrens Dental Center

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 2

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

A. PEDERSEN DENTAL CORPORATION
Dentist (Pediatric Dentistry)
4251 S HIGUERA ST STE 401
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 922-9626
A. PEDERSEN DENTAL CORPORATION
Dentist (Pediatric Dentistry)
4251 S HIGUERA ST STE 401
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 922-9626

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 Tolosa Childrens Dental Center's NPI number?

The NPI number for Tolosa Childrens Dental Center is 1295139590. It was assigned to this organization in the NPPES registry on October 15, 2014.

Where is Tolosa Childrens Dental Center located?

Tolosa Childrens Dental Center is located at 4251 S Higuera St Ste 401, San Luis Obispo, CA 93401. The listed phone number is (805) 238-2216.

What is Tolosa Childrens Dental Center'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 Tolosa Childrens Dental Center was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.