OrganizationActive
La Jolla Dental Specialty Group
NPI 1316171937 · Endodontics · San Diego, CA
La Jolla Dental Specialty Group is a Endodontics organization in San Diego, CA (NPI 1316171937).
Provider details
- NPI number
- 1316171937
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Duke Nguyen, Owner(858) 546-1802
- License
- 47399 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4510 Executive Dr
Suite 205
San Diego, CA 92121-3021
Phone: (858) 546-1802
Fax: (858) 546-1242
Street-level locationGet directions
Mailing address
4510 Executive Dr
San Diego, CA 92121-3021
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2009-05-11
Frequently asked questions
- What is La Jolla Dental Specialty Group's NPI number?
- La Jolla Dental Specialty Group's National Provider Identifier (NPI) is 1316171937, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is La Jolla Dental Specialty Group?
- La Jolla Dental Specialty Group is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is La Jolla Dental Specialty Group located?
- La Jolla Dental Specialty Group's practice location on file with NPPES is 4510 Executive Dr, San Diego, CA 92121-3021.
- What is La Jolla Dental Specialty Group's phone number?
- The practice phone number listed in the NPPES registry for La Jolla Dental Specialty Group is (858) 546-1802.
- Who is the authorized official for La Jolla Dental Specialty Group?
- The authorized official listed on La Jolla Dental Specialty Group's NPPES record is Duke Nguyen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is La Jolla Dental Specialty Group's NPI active?
- Yes — La Jolla Dental Specialty Group's NPI (1316171937) is active in the NPPES registry as of the last update on 2009-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.