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EASTLAKE PERIODONTICS AND IMPLANTS
NPI 1376738062
Clinic/Center - Dental in Chula Vista, CA

Active since September 06, 2007
2452 FENTON ST, SUITE 302, CHULA VISTA, CA 91914(619) 482-3205(619) 482-3206 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eastlake Periodontics And Implants NPPES

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

EASTLAKE PERIODONTICS AND IMPLANTS (NPI 1376738062) is a healthcare organization registered as a dental in Chula Vista, California and active in the NPI registry since September 2007. The organization lists Scott Tadashi Ozaki, Owner, as its authorized official.

NPPES Registry Identity

NPI1376738062
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCOURTNEY L. STAADECKER, DDS, MS AND SCOTT T. OZAKI, DDS, INC.
Location Address2452 FENTON ST, SUITE 302Chula Vista, CA 91914-3516
Mailing Address2452 Fenton St, Suite 302Chula Vista, CA 91914-3516 · (619) 482-3205 · Fax (619) 482-3206
Phone(619) 482-3205
Fax(619) 482-3206
Organization SubpartNo
Authorized OfficialScott Tadashi OzakiOwner · (619) 482-3205
Enumeration DateSeptember 6, 2007
✔ NPI 1376738062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CA · 41977
2452 FENTON ST, Chula Vista, CA 91914
Open in Google Maps ↗

Other Names 1

Doing Business AsEastlake Periodontics And Implants

Other Providers at the Same Location NPPES 9

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

DR. CHRISTINE M DAVIS OD INC
Optometrist (Corneal and Contact Management)
2452 FENTON ST, STE 104
CHULA VISTA, CA 91914
San Diego County (619) 425-5555
MRS. ADELA CAUDILLO FNP
Registered Nurse
2452 FENTON ST
CHULA VISTA, CA 91914
San Diego County (619) 600-5309
DR. EDWARD WILLIAM SCHUMAKER DO
Family Medicine
2452 FENTON ST, SUITE 301
CHULA VISTA, CA 91914
San Diego County (619) 946-4073
SHIBUYA & KINT DDS INC.
Dentist
2452 FENTON ST, SUITE #300
CHULA VISTA, CA 91914
San Diego County (619) 946-4133
DR GOLPA-DENTAL IMPLANT SPECIALISTS OF CALIFORNIA PC
Clinic/Center (Dental)
2452 FENTON ST
CHULA VISTA, CA 91914
San Diego County (619) 768-0111
PAIN CONTROL ASSOCIATES OF SAN DIEGO, INC.
Pain Medicine (Interventional Pain Medicine)
2452 FENTON ST, SUITE 101
CHULA VISTA, CA 91914
San Diego County (619) 271-1683
DR. SCOTT T. OZAKI D.D.S.
Dentist (Periodontics)
2452 FENTON ST, SUITE 302
CHULA VISTA, CA 91914
San Diego County (619) 482-3205
SALT FAMILY CHIROPRACTIC, INC.
Chiropractor
2452 FENTON ST, SUITE 206
CHULA VISTA, CA 91914
San Diego County (619) 420-7858

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 Courtney L. Staadecker, Dds, Ms And Scott T. Ozaki, Dds, Inc.'s NPI number?

The NPI number for Courtney L. Staadecker, Dds, Ms And Scott T. Ozaki, Dds, Inc. is 1376738062. It was assigned to this organization in the NPPES registry on September 6, 2007. The provider is doing business as Eastlake Periodontics And Implants.

Where is Courtney L. Staadecker, Dds, Ms And Scott T. Ozaki, Dds, Inc. located?

Courtney L. Staadecker, Dds, Ms And Scott T. Ozaki, Dds, Inc. is located at 2452 Fenton St Suite 302, Chula Vista, CA 91914. The listed phone number is (619) 482-3205.

What is Courtney L. Staadecker, Dds, Ms And Scott T. Ozaki, Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Courtney L. Staadecker, Dds, Ms And Scott T. Ozaki, Dds, Inc. was last updated on September 6, 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.