1. Home
  2. Directory
  3. California
  4. San Diego
  5. Clinic Center
  6. NPI Profile

GARY AND MARY WEST SENIOR DENTAL CENTER, INC.
NPI 1396111530
Clinic/Center - Dental in San Diego, CA

Active since August 11, 2015
1525 4TH AVE, SAN DIEGO, CA 92101(760) 602-5862 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary And Mary West Senior Dental Center, Inc. NPPES

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

GARY AND MARY WEST SENIOR DENTAL CENTER, INC. (NPI 1396111530) is a healthcare organization registered as a dental in San Diego, California and active in the NPI registry since August 2015. The organization lists Karen Becerra, President And Dentist, as its authorized official.

NPPES Registry Identity

NPI1396111530
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGARY AND MARY WEST SENIOR DENTAL CENTER, INC.
Location Address1525 4TH AVESan Diego, CA 92101-3107
Mailing Address1525 4th AveSan Diego, CA 92101-3107 · (760) 602-5862
Phone(760) 602-5862
Organization SubpartNo
Authorized OfficialKaren BecerraPresident And Dentist · (760) 602-5862
Enumeration DateAugust 11, 2015
✔ NPI 1396111530 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 · 55692
1525 4TH AVE, San Diego, CA 92101
Open in Google Maps ↗

Other Identifiers 1

Other1740451012CA · Individual Dental Provider Npi

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.

DR. DAVID WILLNER DDS
Dentist
1525 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 795-1301
SERVING SENIORS
Case Management
1525 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 235-6538
DR. VICKI C PETROPOULOS DMD, MS
Dentist (Prosthodontics)
1525 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 795-1301

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 Gary And Mary West Senior Dental Center, Inc.'s NPI number?

The NPI number for Gary And Mary West Senior Dental Center, Inc. is 1396111530. It was assigned to this organization in the NPPES registry on August 11, 2015.

Where is Gary And Mary West Senior Dental Center, Inc. located?

Gary And Mary West Senior Dental Center, Inc. is located at 1525 4th Ave, San Diego, CA 92101. The listed phone number is (760) 602-5862.

What is Gary And Mary West Senior Dental Center, 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 Gary And Mary West Senior Dental Center, Inc. was last updated on August 11, 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.