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DR. DUSANKA PETKOVIC DDS
NPI 1891820791
Dentist - General Practice in San Clemente, CA

Active since February 22, 2007
106 S OLA VISTA, SAN CLEMENTE, CA 92672(949) 481-2540(949) 481-2544 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dusanka Petkovic Dds NPPES

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

DR. DUSANKA PETKOVIC DDS (NPI 1891820791) is an individual general practice provider in San Clemente, California, licensed in California (53194) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1891820791
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DUSANKA PETKOVICCredential: DDS
Location Address106 S OLA VISTASan Clemente, CA 92672
Mailing Address106 S Ola VistaSan Clemente, CA 92672 · (949) 481-2540 · Fax (949) 481-2544
Phone(949) 481-2540
Fax(949) 481-2544
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891820791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 53194
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.
106 S OLA VISTA, San Clemente, CA 92672
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Other Identifiers 1

OtherCA 53194CA · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

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

ALI JAZAYERI DDS INC
Clinic/Center (Dental)
106 S OLA VISTA
SAN CLEMENTE, CA 92672
Orange County (949) 481-2540

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 Dusanka Petkovic's NPI number?

The NPI number for Dusanka Petkovic is 1891820791. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Dusanka Petkovic located?

Dusanka Petkovic practices at 106 S Ola Vista, San Clemente, CA 92672. The listed phone number is (949) 481-2540.

What is Dusanka Petkovic's specialty?

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

What insurance does Dusanka Petkovic accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Dusanka Petkovic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dusanka Petkovic was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.