DR PABLO ENRIQUE LICIAGA DDS
NPI 1295801561
Dentist in San Diego, CA

Q: What is Dr Pablo Enrique Liciaga Dds's NPI number?

The NPI number for Dr Pablo Enrique Liciaga Dds is 1295801561. It was assigned to this organization in the NPPES registry on November 28, 2006.

Q: What is Dr Pablo Enrique Liciaga Dds's specialty?

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

Active since November 28, 2006

2115 BACON ST, SAN DIEGO, CA 92107(619) 224-2986(619) 224-2982 Get Directions Write a Review

NPPES record last updated: January 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr Pablo Enrique Liciaga Dds NPPES

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

DR PABLO ENRIQUE LICIAGA DDS (NPI 1295801561) is a healthcare organization registered as a dentist in San Diego, California and active in the NPI registry since November 2006. The organization lists Pablo Enrique Liciaga, Dentist, as its authorized official.

NPPES Registry Identity

NPI1295801561

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDR PABLO ENRIQUE LICIAGA DDS

Location Address2115 BACON STSan Diego, CA 92107

Mailing Address2115 Bacon StSan Diego, CA 92107 · (619) 224-2986 · Fax (619) 224-2982

Phone(619) 224-2986

Fax(619) 224-2982

Organization SubpartNo

Authorized OfficialPablo Enrique LiciagaDentist · (619) 224-2986

Enumeration DateNovember 28, 2006

Last NPPES UpdateJanuary 28, 2015

✔ NPI 1295801561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 49365

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.

2115 BACON ST, San Diego, CA 92107

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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.

PABLO ENRIQUE LICIAGA DDS

Dentist

2115 BACON ST
SAN DIEGO, CA 92107

San Diego County (619) 224-2986

DR. KRISTINA CARAVELLI DMD

Dentist

2115 BACON ST
SAN DIEGO, CA 92107

San Diego County (619) 224-2986

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 Dr Pablo Enrique Liciaga Dds's NPI number?

The NPI number for Dr Pablo Enrique Liciaga Dds is 1295801561. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Dr Pablo Enrique Liciaga Dds located?

Dr Pablo Enrique Liciaga Dds is located at 2115 Bacon St, San Diego, CA 92107. The listed phone number is (619) 224-2986.

What is Dr Pablo Enrique Liciaga Dds's specialty?

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

What insurance does Dr Pablo Enrique Liciaga Dds accept?

Health plans from UnitedHealthcare list Dr Pablo Enrique Liciaga Dds 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 Dr Pablo Enrique Liciaga Dds was last updated on January 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.