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David Demissie, DDS
NPI 1154812709 · General Practice Dentistry · San Bernardino, CA
David Demissie, DDS is a General Practice Dentistry provider in San Bernardino, CA (NPI 1154812709).
Provider details
- NPI number
- 1154812709
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DDS104225 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 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
2 documented practice locations
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
1781 N Waterman Ave
San Bernardino, CA 92404-5114
Phone: (909) 882-4988
Street-level locationGet directions
Mailing address
471 N San Gorgonio Ave
Banning, CA 92220-5523
Additional practice locations (1)
- 471 N San Gorgonio AveBanning, CA 92220-5523Phone: (951) 849-2888
Registry dates
- Enumerated
- 2018-05-18
- Last updated
- 2021-04-27
- Certified
- 2021-04-27
Frequently asked questions
- What is David Demissie's NPI number?
- David Demissie's National Provider Identifier (NPI) is 1154812709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is David Demissie's specialty?
- David Demissie is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is David Demissie located?
- David Demissie's practice location on file with NPPES is 1781 N Waterman Ave, San Bernardino, CA 92404-5114.
- What is David Demissie's phone number?
- The practice phone number listed in the NPPES registry for David Demissie is (909) 882-4988.
- Is David Demissie's NPI active?
- Yes — David Demissie's NPI (1154812709) is active in the NPPES registry as of the last update on 2021-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.