JACQUELINE KOTULA, DDS, INC.
NPI 1457008179
Clinic/Center - Dental in San Rafael, CA

Active since March 02, 2022
4050 REDWOOD HWY STE A, SAN RAFAEL, CA 94903(415) 499-7700 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline Kotula, Dds, Inc. NPPES

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

JACQUELINE KOTULA, DDS, INC. (NPI 1457008179), doing business as Marin Dental Care, is a healthcare organization registered as a dental in San Rafael, California and active in the NPI registry since March 2022. The organization lists Jacqueline Kotula, Owner, as its authorized official.

NPPES Registry Identity

NPI1457008179
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJACQUELINE KOTULA, DDS, INC.
Location Address4050 REDWOOD HWY STE ASan Rafael, CA 94903-5149
Mailing Address4050 Redwood Hwy Ste ASan Rafael, CA 94903-5149 · (415) 499-7700
Organization SubpartNo
Authorized OfficialJacqueline KotulaOwner · (415) 499-7700
Enumeration DateMarch 2, 2022
NPPES CertifiedMarch 2, 2022
NPI 1457008179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4050 REDWOOD HWY STE A, San Rafael, CA 94903

Other Names 1

Doing Business AsMarin Dental Care

Other Identifiers 1

Other1659682888CA · Npi 1

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
4050 REDWOOD HWY STE A
SAN RAFAEL, CA 94903

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 Jacqueline Kotula, Dds, Inc.'s NPI number?

The NPI number for Jacqueline Kotula, Dds, Inc. is 1457008179. It was assigned to this organization in the NPPES registry on March 2, 2022. The provider is doing business as Marin Dental Care.

Where is Jacqueline Kotula, Dds, Inc. located?

Jacqueline Kotula, Dds, Inc. is located at 4050 Redwood Hwy Ste A, San Rafael, CA 94903. The listed phone number is (415) 499-7700.

What is Jacqueline Kotula, 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 Jacqueline Kotula, Dds, Inc. was last updated on March 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.