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MISSION PEDIATRIC DENTISTRY
NPI 1629124128
Dentist - Pediatric Dentistry in Mission Viejo, CA

Active since January 26, 2007
27800 MEDICAL CENTER RD STE 332, MISSION VIEJO, CA 92691(949) 364-1141 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mission Pediatric Dentistry NPPES

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

MISSION PEDIATRIC DENTISTRY (NPI 1629124128) is a healthcare organization registered as a pediatric dentistry in Mission Viejo, California and active in the NPI registry since January 2007. The organization lists Pedersen John, Owner, as its authorized official.

NPPES Registry Identity

NPI1629124128
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMISSION PEDIATRIC DENTISTRY
Location Address27800 MEDICAL CENTER RD STE 332Mission Viejo, CA 92691-6409
Mailing Address27800 Medical Center Rd Ste 332Mission Viejo, CA 92691-6409 · (949) 364-1141
Phone(949) 364-1141
Organization SubpartNo
Authorized OfficialPedersen JohnOwner · (949) 364-1171
Enumeration DateJanuary 26, 2007
Last NPPES UpdateSeptember 13, 2007
✔ NPI 1629124128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
27800 MEDICAL CENTER RD STE 332, Mission Viejo, CA 92691
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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

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 Mission Pediatric Dentistry's NPI number?

The NPI number for Mission Pediatric Dentistry is 1629124128. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Mission Pediatric Dentistry located?

Mission Pediatric Dentistry is located at 27800 Medical Center Rd Ste 332, Mission Viejo, CA 92691. The listed phone number is (949) 364-1141.

What is Mission Pediatric Dentistry'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 Mission Pediatric Dentistry was last updated on September 13, 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.