OrganizationActive
Private Dental Group
NPI 1033609433 · General Practice Dentistry · La Jolla, CA
Private Dental Group is a General Practice Dentistry organization in La Jolla, CA (NPI 1033609433).
Provider details
- NPI number
- 1033609433
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Robert Kim, President(858) 457-3610
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8950 Villa La Jolla Dr Ste B124
La Jolla, CA 92037-1704
Phone: (858) 457-3610
Fax: (858) 457-4025
Street-level locationGet directions
Mailing address
8950 Villa La Jolla Dr Ste B124
La Jolla, CA 92037-1704
Registry dates
- Enumerated
- 2018-05-11
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Frequently asked questions
- What is Private Dental Group's NPI number?
- Private Dental Group's National Provider Identifier (NPI) is 1033609433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Private Dental Group?
- Private Dental Group is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Private Dental Group located?
- Private Dental Group's practice location on file with NPPES is 8950 Villa La Jolla Dr Ste B124, La Jolla, CA 92037-1704.
- What is Private Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Private Dental Group is (858) 457-3610.
- Who is the authorized official for Private Dental Group?
- The authorized official listed on Private Dental Group's NPPES record is Robert Kim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Private Dental Group's NPI active?
- Yes — Private Dental Group's NPI (1033609433) is active in the NPPES registry as of the last update on 2025-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.