PASADENA MEDICAL/DENTAL SPECIALIST
NPI 1508088675
Dentist - Endodontics in Pasadena, CA

Active since May 02, 2007
1092 E GREEN ST, PASADENA, CA 91106(626) 395-5140(626) 395-5144 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pasadena Medical/dental Specialist NPPES

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

PASADENA MEDICAL/DENTAL SPECIALIST (NPI 1508088675) is a healthcare organization registered as an endodontics in Pasadena, California and active in the NPI registry since May 2007. The organization lists Patrice A Wyndhamsmith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508088675
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameDAVID R. WYNDHAMSMITH, A PROFESSIONAL DENTAL CORPORATION
Location Address1092 E GREEN STPasadena, CA 91106-2506
Mailing Address1092 E Green StPasadena, CA 91106-2506 · (626) 395-5140 · Fax (626) 395-5144
Fax(626) 395-5144
Organization SubpartNo
Authorized OfficialPatrice A WyndhamsmithOffice Manager · (626) 795-9328
Enumeration DateMay 2, 2007
Last NPPES UpdateOctober 15, 2015
NPI 1508088675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in CA · 46195
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 41122 (CA)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 49312 (CA)
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 37519 (CA)
1092 E GREEN ST, Pasadena, CA 91106

Other Names 1

Doing Business AsPasadena Medical/dental Specialist

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 2

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

Dentist (General Practice)
1092 E GREEN ST
PASADENA, CA 91106
Dentist (Endodontics)
1092 E GREEN ST
PASADENA, CA 91106

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 David R. Wyndhamsmith, A Professional Dental Corporation's NPI number?

The NPI number for David R. Wyndhamsmith, A Professional Dental Corporation is 1508088675. It was assigned to this organization in the NPPES registry on May 2, 2007. The provider is doing business as Pasadena Medical/Dental Specialist.

Where is David R. Wyndhamsmith, A Professional Dental Corporation located?

David R. Wyndhamsmith, A Professional Dental Corporation is located at 1092 E Green St, Pasadena, CA 91106. The listed phone number is (626) 395-5140.

What is David R. Wyndhamsmith, A Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for David R. Wyndhamsmith, A Professional Dental Corporation was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.