LA JOLLA DENTAL SPECIALTY GROUP
NPI 1316171937
Dentist - Endodontics in San Diego, CA

Q: What is La Jolla Dental Specialty Group's NPI number?

The NPI number for La Jolla Dental Specialty Group is 1316171937. It was assigned to this organization in the NPPES registry on May 11, 2009.

Q: What is La Jolla Dental Specialty Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Active since May 11, 2009

4510 EXECUTIVE DR, SUITE 205, SAN DIEGO, CA 92121(858) 546-1802(858) 546-1242 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About La Jolla Dental Specialty Group NPPES

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

LA JOLLA DENTAL SPECIALTY GROUP (NPI 1316171937) is a healthcare organization registered as an endodontics in San Diego, California and active in the NPI registry since May 2009. The organization lists Duke Huynh Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1316171937

Entity TypeOrganization

Primary Taxonomy1223E0200X

Legal Business NameLA JOLLA DENTAL SPECIALTY GROUP

Location Address4510 EXECUTIVE DR, SUITE 205San Diego, CA 92121-3021

Mailing Address4510 Executive Dr, Suite 205San Diego, CA 92121-3021 · (858) 546-1802 · Fax (858) 546-1242

Phone(858) 546-1802

Fax(858) 546-1242

Organization SubpartNo

Authorized OfficialDuke Huynh NguyenOwner · (858) 546-1802

Enumeration DateMay 11, 2009

✔ NPI 1316171937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in CA · 47399

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

4510 EXECUTIVE DR, San Diego, CA 92121

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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

Other Providers at the Same Location NPPES 20

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

DR. TODD BENJAMIN PLUTCHOK D.C.

Chiropractor

4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121

San Diego County (858) 452-8888

KHRIZNA CHONG MSN, RN, CNS

Clinical Nurse Specialist (Acute Care)

4510 EXECUTIVE DR
SAN DIEGO, CA 92121

San Diego County (858) 657-7729

MS. SHARON ESTERS-THAMES RN

Registered Nurse

4510 EXECUTIVE DR
SAN DIEGO, CA 92121

San Diego County (858) 450-5000

MISS KERI ANNE O'CONNOR NP

Nurse Practitioner (Family)

4510 EXECUTIVE DR
SAN DIEGO, CA 92121

San Diego County (858) 657-5085

DAVID A LEPAY M.D.

Pathology (Clinical Pathology/Laboratory Medicine)

4510 EXECUTIVE DR, SUITE 2257
SAN DIEGO, CA 92121

San Diego County (858) 550-3850

LISA GUERTIN NP

Nurse Practitioner (Acute Care)

4510 EXECUTIVE DR
SAN DIEGO, CA 92121

San Diego County (800) 926-8273

MANISH V SHETH MD

Psychiatry & Neurology (Psychiatry)

4510 EXECUTIVE DR, SUITE 115
SAN DIEGO, CA 92121

San Diego County (858) 427-5060

DR. CHAD MICHAEL WELLS D.C.

Chiropractor (Sports Physician)

4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121

San Diego County (858) 452-8888

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 La Jolla Dental Specialty Group's NPI number?

The NPI number for La Jolla Dental Specialty Group is 1316171937. It was assigned to this organization in the NPPES registry on May 11, 2009.

Where is La Jolla Dental Specialty Group located?

La Jolla Dental Specialty Group is located at 4510 Executive Dr Suite 205, San Diego, CA 92121. The listed phone number is (858) 546-1802.

What is La Jolla Dental Specialty Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for La Jolla Dental Specialty Group was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.