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CHILDRENS PRIMARY DENTAL CARE & ADULT DENTAL GROUP
NPI 1306988118
Dentist - Pediatric Dentistry in Chula Vista, CA

Active since February 12, 2007
397 E ST, STE #A, CHULA VISTA, CA 91910(619) 425-9930(619) 425-9887 Get Directions Write a Review

NPPES record last updated: May 15, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Childrens Primary Dental Care & Adult Dental Group NPPES

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

CHILDRENS PRIMARY DENTAL CARE & ADULT DENTAL GROUP (NPI 1306988118) is a healthcare organization registered as a pediatric dentistry in Chula Vista, California and active in the NPI registry since February 2007. The organization lists Safoura Massoumi, Owner, as its authorized official.

NPPES Registry Identity

NPI1306988118
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTHE SAFOURA MASSOURI PROFESSIONAL DENTAL CORP
Location Address397 E ST, STE #AChula Vista, CA 91910
Mailing Address397 E St, Ste #aChula Vista, CA 91910 · (619) 425-9930 · Fax (619) 425-9887
Phone(619) 425-9930
Fax(619) 425-9887
Organization SubpartNo
Authorized OfficialSafoura MassoumiOwner · (619) 425-9930
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMay 15, 2015
✔ NPI 1306988118 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 · 40677
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.
397 E ST, Chula Vista, CA 91910
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Other Names 1

Doing Business AsChildrens Primary Dental Care & Adult Dental Group

Other Identifiers 1

MedicaidG9226501CA

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

Accepted Insurance

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

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.

SAFOURA MASSOUMI DDS PEDIATRIC DENTIS
Dentist (Pediatric Dentistry)
397 E ST, STE #A
CHULA VISTA, CA 91910
San Diego County (619) 425-9930
DR. REGINA CAPULONG D.D.S.
Dentist
397 E ST
CHULA VISTA, CA 91910
San Diego County (619) 425-9930
PATRICIO ANDRES PEDIATRIC DENTIST
Dentist (Pediatric Dentistry)
397 E ST, STE #A
CHULA VISTA, CA 91910
San Diego County (619) 425-9930

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 The Safoura Massouri Professional Dental Corp's NPI number?

The NPI number for The Safoura Massouri Professional Dental Corp is 1306988118. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Childrens Primary Dental Care & Adult Dental Group.

Where is The Safoura Massouri Professional Dental Corp located?

The Safoura Massouri Professional Dental Corp is located at 397 E St Ste #a, Chula Vista, CA 91910. The listed phone number is (619) 425-9930.

What is The Safoura Massouri Professional Dental Corp's specialty?

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

What insurance does The Safoura Massouri Professional Dental Corp accept?

Health plans from UnitedHealthcare list The Safoura Massouri Professional Dental Corp 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 The Safoura Massouri Professional Dental Corp was last updated on May 15, 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.