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CENTRAL COAST PEDIATRIC DENTAL GROUP
NPI 1942333059
Dentist - Pediatric Dentistry in Seaside, CA

Active since March 14, 2007
1717 FREMONT BLVD, SEASIDE, CA 93955(831) 899-5437(831) 899-1188 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Central Coast Pediatric Dental Group NPPES

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

CENTRAL COAST PEDIATRIC DENTAL GROUP (NPI 1942333059) is a healthcare organization registered as a pediatric dentistry in Seaside, California and active in the NPI registry since March 2007. The organization lists Anna M Lizaola, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1942333059
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCENTRAL COAST PEDIATRIC DENTAL GROUP
Location Address1717 FREMONT BLVDSeaside, CA 93955
Mailing Address631 E Alvin Drive Suite CSalinas, CA 93906 · (831) 442-8878 · Fax (831) 443-4611
Phone(831) 899-5437
Fax(831) 899-1188
Organization SubpartNo
Authorized OfficialAnna M LizaolaAdministrative Assistant · (831) 442-8878
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942333059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 37400
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.
1717 FREMONT BLVD, Seaside, CA 93955
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Other Identifiers 1

MedicaidG9087503CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Central Coast Pediatric Dental Group's NPI number?

The NPI number for Central Coast Pediatric Dental Group is 1942333059. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Central Coast Pediatric Dental Group located?

Central Coast Pediatric Dental Group is located at 1717 Fremont Blvd, Seaside, CA 93955. The listed phone number is (831) 899-5437.

What is Central Coast Pediatric Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Central Coast Pediatric Dental Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.