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SAN PEDRO DENTAL
NPI 1538451208
Dentist in San Pedro, CA

Active since May 12, 2011
520 W 7TH ST, SAN PEDRO, CA 90731(310) 832-5361(310) 831-8836 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About San Pedro Dental NPPES

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

SAN PEDRO DENTAL (NPI 1538451208) is a healthcare organization registered as a dentist in San Pedro, California and active in the NPI registry since May 2011. The organization lists Speed Fry, Manager, as its authorized official.

NPPES Registry Identity

NPI1538451208
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSAN PEDRO DENTAL
Location Address520 W 7TH STSan Pedro, CA 90731-3116
Mailing Address520 W 7th StSan Pedro, CA 90731-3116 · (310) 832-5361 · Fax (310) 831-8836
Phone(310) 832-5361
Fax(310) 831-8836
Organization SubpartNo
Authorized OfficialSpeed FryManager · (310) 832-5361
Enumeration DateMay 12, 2011
✔ NPI 1538451208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 20546
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.
520 W 7TH ST, San Pedro, CA 90731
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Other Identifiers 1

OtherB20546-03CA · Dentical

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 UnitedHealthcare.Insurance ›

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.

ERIKA NAKAMURA GOMEZ D.D.S.
Dentist (General Practice)
520 W 7TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 832-5361
MISS BREANNA DONATIEN
Dental Hygienist
520 W 7TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 832-5361

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 San Pedro Dental's NPI number?

The NPI number for San Pedro Dental is 1538451208. It was assigned to this organization in the NPPES registry on May 12, 2011.

Where is San Pedro Dental located?

San Pedro Dental is located at 520 W 7th St, San Pedro, CA 90731. The listed phone number is (310) 832-5361.

What is San Pedro Dental's specialty?

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

What insurance does San Pedro Dental accept?

Health plans from UnitedHealthcare list San Pedro Dental 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 San Pedro Dental was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.