1. Home
  2. Directory
  3. California
  4. San Marcos
  5. Dentist
  6. NPI Profile

DR. DRAKE EXSTROM DDS
NPI 1407467129
Dentist - Oral and Maxillofacial Surgery in San Marcos, CA

Active since August 14, 2020
1030 LA BONITA DR STE 322, SAN MARCOS, CA 92078(760) 744-1919(760) 744-4625 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Aug 14, 2020 (2 updates tracked since 2020).

About Dr. Drake Exstrom Dds NPPES

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

DR. DRAKE EXSTROM DDS (NPI 1407467129) is an individual oral and maxillofacial surgery provider in San Marcos, California, licensed in California (105289) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1407467129
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DRAKE EXSTROMCredential: DDS
Location Address1030 LA BONITA DR STE 322San Marcos, CA 92078-5291
Mailing Address1030 La Bonita Dr Ste 322San Marcos, CA 92078-5291 · (760) 744-1919 · Fax (760) 744-4625
Phone(760) 744-1919
Fax(760) 744-4625
Sole ProprietorYes
Enumeration DateAugust 14, 2020
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1407467129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 105289
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1030 LA BONITA DR STE 322, San Marcos, CA 92078
Open in Google Maps ↗

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 BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Drake Exstrom's NPI number?

The NPI number for Drake Exstrom is 1407467129. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is Drake Exstrom located?

Drake Exstrom practices at 1030 La Bonita Dr Ste 322, San Marcos, CA 92078. The listed phone number is (760) 744-1919.

What is Drake Exstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Drake Exstrom accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Drake Exstrom 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 Drake Exstrom was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.