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LUIS M. CARRILLO DDS
NPI 1679008908
Dentist in Tijuana, BAJA CALIFORNIA

Active since April 24, 2017
AVE MEXICO # 8236, TIJUANA, BAJA CALIFORNIA 21000(664) 685-4095(966) 272-6924 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luis M. Carrillo Dds NPPES

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

LUIS M. CARRILLO DDS (NPI 1679008908) is a healthcare organization registered as a dentist in Tijuana, BAJA CALIFORNIA and active in the NPI registry since April 2017. The organization lists Luis Mario Carrillo, Dentist, as its authorized official.

NPPES Registry Identity

NPI1679008908
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLUIS M. CARRILLO
Location AddressAVE MEXICO # 8236Tijuana, BAJA CALIFORNIA 21000
Mailing Address4275 Executive Sq, Ste 200La Jolla, CA 92037-9123 · (619) 488-3200 · Fax (866) 272-6924
Phone(664) 685-4095
Fax(966) 272-6924
Organization SubpartNo
Authorized OfficialLuis Mario CarrilloDentist · (619) 488-3200
Enumeration DateApril 24, 2017
✔ NPI 1679008908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ZZ · 1787081
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.
AVE MEXICO # 8236, Tijuana, BAJA CALIFORNIA 21000
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Other Names 1

Doing Business AsLuis M. Carrillo Dds

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

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 Luis M. Carrillo's NPI number?

The NPI number for Luis M. Carrillo is 1679008908. It was assigned to this organization in the NPPES registry on April 24, 2017. The provider is doing business as Luis M. Carrillo Dds.

Where is Luis M. Carrillo located?

Luis M. Carrillo is located at Ave Mexico # 8236, Tijuana, BAJA CALIFORNIA 21000. The listed phone number is (664) 685-4095.

What is Luis M. Carrillo'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 Luis M. Carrillo was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.