PEDIATRIC DENTISTRY OF SAN CLEMENTE
NPI 1902687346
Clinic/Center - Dental in San Clemente, CA

Active since October 11, 2023
903 CALLE AMANECER STE 110, SAN CLEMENTE, CA 92673(949) 361-2838 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dentistry Of San Clemente NPPES

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

PEDIATRIC DENTISTRY OF SAN CLEMENTE (NPI 1902687346) is a healthcare organization registered as a dental in San Clemente, California and active in the NPI registry since October 2023. The organization lists Jacob K Lee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902687346
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEDIATRIC DENTISTRY OF SAN CLEMENTE
Location Address903 CALLE AMANECER STE 110San Clemente, CA 92673-6253
Mailing Address903 Calle Amanecer Ste 110San Clemente, CA 92673-6253 · (949) 361-2838
Organization SubpartNo
Authorized OfficialJacob K LeeCeo · (949) 361-2838
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
NPI 1902687346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
903 CALLE AMANECER STE 110, San Clemente, CA 92673

Other Identifiers 3

Other1790281202CA · Nppes
Other1083768725CA · Nppes
Other1437689395CA · Nppes

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (Pediatric Dentistry)
903 CALLE AMANECER STE 110
SAN CLEMENTE, CA 92673
Dentist (General Practice)
903 CALLE AMANECER STE 110
SAN CLEMENTE, CA 92673

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 Pediatric Dentistry Of San Clemente's NPI number?

The NPI number for Pediatric Dentistry Of San Clemente is 1902687346. It was assigned to this organization in the NPPES registry on October 11, 2023.

Where is Pediatric Dentistry Of San Clemente located?

Pediatric Dentistry Of San Clemente is located at 903 Calle Amanecer Ste 110, San Clemente, CA 92673. The listed phone number is (949) 361-2838.

What is Pediatric Dentistry Of San Clemente's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Pediatric Dentistry Of San Clemente accept?

Health plans from UnitedHealthcare list Pediatric Dentistry Of San Clemente 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 Pediatric Dentistry Of San Clemente was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.