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

ADVANCED DENTISTRY OF SAN DIEGO
NPI 1477991404
Dentist in Vista, CA

Active since June 12, 2013
630 S MELROSE DR STE B, VISTA, CA 92081(760) 726-5703 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dentistry Of San Diego NPPES

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

ADVANCED DENTISTRY OF SAN DIEGO (NPI 1477991404) is a healthcare organization registered as a dentist in Vista, California and active in the NPI registry since June 2013. The organization lists Michael C Maksim, Owner, as its authorized official.

NPPES Registry Identity

NPI1477991404
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameADVANCED DENTISTRY OF SAN DIEGO
Location Address630 S MELROSE DR STE BVista, CA 92081-6626
Mailing Address630 S Melrose Dr Ste BVista, CA 92081-6626 · (760) 726-5703
Phone(760) 726-5703
Organization SubpartNo
Authorized OfficialMichael C MaksimOwner · (760) 726-5703
Enumeration DateJune 12, 2013
✔ NPI 1477991404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 35429
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
630 S MELROSE DR STE B, Vista, CA 92081
Open in Google Maps ↗

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.

DR. MICHAEL CRAIG MAKSIM D.D.S.
Dentist (General Practice)
630 S MELROSE DR STE B
VISTA, CA 92081
San Diego County (760) 726-5703

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 Advanced Dentistry Of San Diego's NPI number?

The NPI number for Advanced Dentistry Of San Diego is 1477991404. It was assigned to this organization in the NPPES registry on June 12, 2013.

Where is Advanced Dentistry Of San Diego located?

Advanced Dentistry Of San Diego is located at 630 S Melrose Dr Ste B, Vista, CA 92081. The listed phone number is (760) 726-5703.

What is Advanced Dentistry Of San Diego's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Advanced Dentistry Of San Diego was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.