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BUBALO DENTAL CORPORATION
NPI 1649070061
Dentist - General Practice in San Diego, CA

Active since March 14, 2025
306 WALNUT AVE STE 24, SAN DIEGO, CA 92103(619) 232-1005 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bubalo Dental Corporation NPPES

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

BUBALO DENTAL CORPORATION (NPI 1649070061) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since March 2025. The organization lists Nina Bubalo, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1649070061
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBUBALO DENTAL CORPORATION
Location Address306 WALNUT AVE STE 24San Diego, CA 92103-4980
Mailing Address306 Walnut Ave Ste 24San Diego, CA 92103-4980 · (619) 232-1005
Phone(619) 232-1005
Organization SubpartNo
Authorized OfficialNina BubaloOwner Dentist · (408) 466-4197
Enumeration DateMarch 14, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1649070061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X
306 WALNUT AVE STE 24, San Diego, CA 92103
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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

Other Providers at the Same Location NPPES

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

NINA BUBALO DDS
Dentist (General Practice)
306 WALNUT AVE STE 24
SAN DIEGO, CA 92103
San Diego County (619) 232-1005

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 Bubalo Dental Corporation's NPI number?

The NPI number for Bubalo Dental Corporation is 1649070061. It was assigned to this organization in the NPPES registry on March 14, 2025.

Where is Bubalo Dental Corporation located?

Bubalo Dental Corporation is located at 306 Walnut Ave Ste 24, San Diego, CA 92103. The listed phone number is (619) 232-1005.

What is Bubalo Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bubalo Dental Corporation was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.