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MCCORMACK DENTAL IMAGING
NPI 1689045718
Dental Laboratory in San Diego, CA

Active since October 15, 2015
1550 HOTEL CIR N, STE. 340, SAN DIEGO, CA 92108(619) 296-6132 Get Directions Write a Review

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

About Mccormack Dental Imaging NPPES

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

MCCORMACK DENTAL IMAGING (NPI 1689045718) is a healthcare organization registered as a dental laboratory in San Diego, California and active in the NPI registry since October 2015. The organization lists Jerome N. Peck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689045718
Entity TypeOrganization
Primary Taxonomy292200000X
Legal Business NameMCCORMACK DENTAL IMAGING
Location Address1550 HOTEL CIR N, STE. 340San Diego, CA 92108-2901
Mailing Address450 Sutter St, Suite 1542San Francisco, CA 94108-4206 · (415) 421-1389
Phone(619) 296-6132
Organization SubpartNo
Authorized OfficialJerome N. PeckCeo · (415) 421-1389
Enumeration DateOctober 15, 2015
✔ NPI 1689045718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental LaboratoryLaboratories
Taxonomy Code292200000X
License✔ Licensed in CA · RHP00053519
Definition
A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.
1550 HOTEL CIR N, San Diego, CA 92108
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Other Providers at the Same Location NPPES 20

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

ROSALBA ROXANNE CAANDOY BCBA
Behavior Analyst
1550 HOTEL CIR N, SUITE 270
SAN DIEGO, CA 92108
San Diego County (619) 692-1581
ERIC AMPARO RBT
Behavior Analyst
1550 HOTEL CIR N, SUITE 270
SAN DIEGO, CA 92108
San Diego County (619) 692-1581
KRYSTI HALL
Behavior Analyst
1550 HOTEL CIR N
SAN DIEGO, CA 92108
San Diego County (619) 782-0700
MIGUEL A. RUBIO BCBA
Behavior Analyst
1550 HOTEL CIR N, SUITE 270
SAN DIEGO, CA 92108
San Diego County (619) 692-1581
GISELLE GARCIA
Behavior Technician
1550 HOTEL CIR N
SAN DIEGO, CA 92108
San Diego County (619) 930-7172
AMAL AHMED
Behavior Technician
1550 HOTEL CIR N
SAN DIEGO, CA 92108
San Diego County (619) 782-0700
IMMANUEL NEBRIL CAANDOY BCBA
Behavior Analyst
1550 HOTEL CIR N, SUITE 270
SAN DIEGO, CA 92108
San Diego County (619) 692-1581
JONATHAN COHEN BCBA
Behavior Analyst
1550 HOTEL CIR N, SUITE 270
SAN DIEGO, CA 92108
San Diego County (619) 692-1581

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 Mccormack Dental Imaging's NPI number?

The NPI number for Mccormack Dental Imaging is 1689045718. It was assigned to this organization in the NPPES registry on October 15, 2015.

Where is Mccormack Dental Imaging located?

Mccormack Dental Imaging is located at 1550 Hotel Cir N Ste. 340, San Diego, CA 92108. The listed phone number is (619) 296-6132.

What is Mccormack Dental Imaging's specialty?

The primary specialty registered for this NPI is Dental Laboratory with taxonomy code 292200000X.

When was this NPI record last updated?

The NPPES record for Mccormack Dental Imaging 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.