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DR. ELLEN IM PEDIATRIC DENTISTRY AND ORTHODONTICS
NPI 1861091720
Dentist - Pediatric Dentistry in Poway, CA

Active since October 21, 2020
13422 POMERADO RD STE 201, POWAY, CA 92064(858) 679-6660 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 6, 2021, Oct 21, 2020 (2 updates tracked since 2020).

About Dr. Ellen Im Pediatric Dentistry And Orthodontics NPPES

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

DR. ELLEN IM PEDIATRIC DENTISTRY AND ORTHODONTICS (NPI 1861091720) is a healthcare organization registered as a pediatric dentistry in Poway, California and active in the NPI registry since October 2020. The organization lists Ellen Im, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1861091720
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameELLEN IM DDS INC
Location Address13422 POMERADO RD STE 201Poway, CA 92064-3548
Mailing Address13422 Pomerado Rd Ste 201Poway, CA 92064-3548
Phone(858) 679-6660
Organization SubpartNo
Authorized OfficialEllen ImOwner/operator · (858) 679-6660
Enumeration DateOctober 21, 2020
Last NPPES UpdateMay 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1861091720 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 · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
13422 POMERADO RD STE 201, Poway, CA 92064
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Other Names 1

Doing Business AsDr. Ellen Im Pediatric Dentistry And Orthodontics

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 4

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

DR. ELLEN WONSUN IM DDS
Dentist (Pediatric Dentistry)
13422 POMERADO RD STE 201
POWAY, CA 92064
San Diego County (410) 644-4100
DR. JOEL WAN TOON WONG DMD
Dentist (Pediatric Dentistry)
13422 POMERADO RD STE 201
POWAY, CA 92064
San Diego County (858) 679-6660
MR. CLARENCE SPENCER TANG DDS, MD
Dentist (Oral and Maxillofacial Surgery)
13422 POMERADO RD STE 201
POWAY, CA 92064
San Diego County (847) 769-5381
MONIQUE NGUYEN
Dentist (Orthodontics and Dentofacial Orthopedics)
13422 POMERADO RD STE 201
POWAY, CA 92064
San Diego County (858) 679-6660

Frequently Asked Questions

What is ELLEN IM DDS INC's NPI number?

The NPI number assigned to this healthcare provider is 1861091720, enumerated as an "organization" on October 21, 2020.

Where is the provider located?

The provider is located at 13422 POMERADO RD STE 201 POWAY, CA 92064 and the phone number is (858) 679-6660.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.