OrganizationActive
Stephens Dental
NPI 1134058738 · General Practice Dentistry · San Diego, CA
Stephens Dental is a General Practice Dentistry organization in San Diego, CA (NPI 1134058738).
Provider details
- NPI number
- 1134058738
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jaylord Medallon, Manager(619) 497-0122
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
3588 4th Ave Ste 300
San Diego, CA 92103-4947
Phone: (619) 497-0122
Fax: (619) 497-0264
Street-level locationGet directions
Mailing address
3588 4th Ave Ste 300
San Diego, CA 92103-4947
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Frequently asked questions
- What is Stephens Dental's NPI number?
- Stephens Dental's National Provider Identifier (NPI) is 1134058738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stephens Dental?
- Stephens Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Stephens Dental located?
- Stephens Dental's practice location on file with NPPES is 3588 4th Ave Ste 300, San Diego, CA 92103-4947.
- What is Stephens Dental's phone number?
- The practice phone number listed in the NPPES registry for Stephens Dental is (619) 497-0122.
- Who is the authorized official for Stephens Dental?
- The authorized official listed on Stephens Dental's NPPES record is Jaylord Medallon, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stephens Dental's NPI active?
- Yes — Stephens Dental's NPI (1134058738) is active in the NPPES registry as of the last update on 2026-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.