IndividualActive
Brendan Eghtedar, DDS
NPI 1235492000 · Dentist · Camp Pendleton, CA
Provider details
- NPI number
- 1235492000
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 54528 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
555020 Bldg, #1377
Camp Pendleton, CA 92055-5020
Phone: (866) 980-8989
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 17146
San Diego, CA 92177-7146
Registry dates
- Enumerated
- 2012-06-18
- Last updated
- 2012-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.