MAURA KATHLEEN PEZZULLA DMD
NPI 1780412072
Dentist in San Diego, CA

Q: What is Maura Pezzulla's NPI number?

The NPI number for Maura Pezzulla is 1780412072. It was assigned to this individual provider in the NPPES registry on July 26, 2024.

Q: What is Maura Pezzulla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maura Pezzulla was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 26, 2024

2841 RENDOVA RD, SAN DIEGO, CA 92155(760) 214-6978 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2025, Jul 26, 2024 (2 updates tracked since 2024).

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About Maura Kathleen Pezzulla Dmd NPPES

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

MAURA KATHLEEN PEZZULLA DMD (NPI 1780412072) is an individual dentist in San Diego, California, licensed in Utah (14015702-9926) and active in the NPI registry since July 2024. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1780412072

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMAURA KATHLEEN PEZZULLACredential: DMD

Location Address2841 RENDOVA RDSan Diego, CA 92155-1098

Mailing Address1373 Oliver Ave Apt BSan Diego, CA 92109-5164 · (443) 834-9148

Phone(760) 214-6978

Sole ProprietorNo

Enumeration DateJuly 26, 2024

Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1780412072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in UT · 14015702-9926

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.

2841 RENDOVA RD, San Diego, CA 92155

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Secondary Practice Location 1

Location 12310 Craven St Bldg 3230San Diego, CA 92136-1098 · Phone (619) 556-8240

Other Providers at the Same Location NPPES 14

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

JOSHUA W. JOHNSON

Dentist