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JOHN PEDERSEN DDS
NPI 1295780922
Dentist in Los Angeles, CA

Active since May 23, 2006
12504 W WASHINGTON BLVD, LOS ANGELES, LOS ANGELES, CA 90066(310) 390-6272(310) 390-6674 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Pedersen Dds NPPES

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

JOHN PEDERSEN DDS (NPI 1295780922) is an individual dentist in Los Angeles, California, licensed in California (23409) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1295780922
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOHN PEDERSENCredential: DDS
Location Address12504 W WASHINGTON BLVD, LOS ANGELESLos Angeles, CA 90066
Mailing Address12504 W Washington Blvd, Los AngelesLos Angeles, CA 90066 · (310) 390-6272 · Fax (310) 390-6674
Phone(310) 390-6272
Fax(310) 390-6674
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 22, 2007
✔ NPI 1295780922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 23409
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12504 W WASHINGTON BLVD, Los Angeles, CA 90066
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Accepted Insurance

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

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.

DR. RASOOL PATEL II DDS
Dentist
12504 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 390-6272
JOHN PEDERSEN D D S INC
Dentist (General Practice)
12504 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 390-6272

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 John Pedersen's NPI number?

The NPI number for John Pedersen is 1295780922. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is John Pedersen located?

John Pedersen practices at 12504 W Washington Blvd Los Angeles, Los Angeles, CA 90066. The listed phone number is (310) 390-6272.

What is John Pedersen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does John Pedersen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list John Pedersen 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 John Pedersen was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.