SOUTH BAY PEDIATRIC DENTAL GROUP
NPI 1467649350
Dentist - Pediatric Dentistry in Chula Vista, CA

Active since September 25, 2007
2446 FENTON ST, SUITE 102, CHULA VISTA, CA 91914(619) 216-1100(619) 216-1127 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Bay Pediatric Dental Group NPPES

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

SOUTH BAY PEDIATRIC DENTAL GROUP (NPI 1467649350) is a healthcare organization registered as a pediatric dentistry in Chula Vista, California and active in the NPI registry since September 2007. The organization lists Todd W Pacofsky, Partner, as its authorized official.

NPPES Registry Identity

NPI1467649350
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOUTH BAY PEDIATRIC DENTAL GROUP
Location Address2446 FENTON ST, SUITE 102Chula Vista, CA 91914-3516
Mailing Address2446 Fenton St, Suite 102Chula Vista, CA 91914-3516 · (619) 216-1100 · Fax (619) 216-1127
Fax(619) 216-1127
Organization SubpartNo
Authorized OfficialTodd W PacofskyPartner · (619) 216-1100
Enumeration DateSeptember 25, 2007
NPI 1467649350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2446 FENTON ST, Chula Vista, CA 91914

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

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
2446 FENTON ST, SUITE 101
CHULA VISTA, CA 91914
Dentist (General Practice)
2446 FENTON ST, SUITE 101
CHULA VISTA, CA 91914
Dentist (Pediatric Dentistry)
2446 FENTON ST, SUITE 102
CHULA VISTA, CA 91914
Dentist (Pediatric Dentistry)
2446 FENTON ST, SUITE 102
CHULA VISTA, CA 91914

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 South Bay Pediatric Dental Group's NPI number?

The NPI number for South Bay Pediatric Dental Group is 1467649350. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is South Bay Pediatric Dental Group located?

South Bay Pediatric Dental Group is located at 2446 Fenton St Suite 102, Chula Vista, CA 91914. The listed phone number is (619) 216-1100.

What is South Bay Pediatric Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for South Bay Pediatric Dental Group was last updated on September 25, 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.