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TIERRA TOWN DENTAL
NPI 1386747913
Dentist - General Practice in San Diego, CA

Active since September 07, 2006
10645 TIERRASANTA BLVD, SUITE B, SAN DIEGO, CA 92124(858) 277-6080(858) 277-4773 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tierra Town Dental NPPES

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

TIERRA TOWN DENTAL (NPI 1386747913) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since September 2006. The organization lists Nicole Reid, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1386747913
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGALLO MICHELS PROFESSIONAL DENTAL CORP
Location Address10645 TIERRASANTA BLVD, SUITE BSan Diego, CA 92124-2614
Mailing Address10645 Tierrasanta Blvd, Suite BSan Diego, CA 92124-2614 · (858) 277-6080 · Fax (858) 277-4773
Phone(858) 277-6080
Fax(858) 277-4773
Organization SubpartNo
Authorized OfficialNicole ReidRegional Manager · (619) 261-1670
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386747913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 31040
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10645 TIERRASANTA BLVD, San Diego, CA 92124
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Other Names 1

Doing Business AsTierra Town Dental

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

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

KRISTIAN ELI CABUGAO DDS
Dentist (General Practice)
10645 TIERRASANTA BLVD, SUITE B
SAN DIEGO, CA 92124
San Diego County (858) 277-6080

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 Gallo Michels Professional Dental Corp's NPI number?

The NPI number for Gallo Michels Professional Dental Corp is 1386747913. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Tierra Town Dental.

Where is Gallo Michels Professional Dental Corp located?

Gallo Michels Professional Dental Corp is located at 10645 Tierrasanta Blvd Suite B, San Diego, CA 92124. The listed phone number is (858) 277-6080.

What is Gallo Michels Professional Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gallo Michels Professional Dental Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.