OrganizationActive
Jacqueline Kotula, DDS, Inc.
NPI 1457008179 · Dental Clinic/Center · San Rafael, CA
Jacqueline Kotula, DDS, Inc. is a Dental Clinic/Center organization in San Rafael, CA (NPI 1457008179).
Provider details
- NPI number
- 1457008179
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacqueline Kotula, Owner(415) 499-7700
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4050 Redwood Hwy Ste a
San Rafael, CA 94903-5149
Phone: (415) 499-7700
Street-level locationGet directions
Mailing address
4050 Redwood Hwy Ste a
San Rafael, CA 94903-5149
Other names (DBA / former)
- Doing business as
- Marin Dental Care
Registry dates
- Enumerated
- 2022-03-02
- Last updated
- 2022-03-02
- Certified
- 2022-03-02
Frequently asked questions
- What is Jacqueline Kotula, DDS, Inc.'s NPI number?
- Jacqueline Kotula, DDS, Inc.'s National Provider Identifier (NPI) is 1457008179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacqueline Kotula, DDS, Inc.?
- Jacqueline Kotula, DDS, Inc. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jacqueline Kotula, DDS, Inc. located?
- Jacqueline Kotula, DDS, Inc.'s practice location on file with NPPES is 4050 Redwood Hwy Ste a, San Rafael, CA 94903-5149.
- What is Jacqueline Kotula, DDS, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Kotula, DDS, Inc. is (415) 499-7700.
- Who is the authorized official for Jacqueline Kotula, DDS, Inc.?
- The authorized official listed on Jacqueline Kotula, DDS, Inc.'s NPPES record is Jacqueline Kotula, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacqueline Kotula, DDS, Inc.'s NPI active?
- Yes — Jacqueline Kotula, DDS, Inc.'s NPI (1457008179) is active in the NPPES registry as of the last update on 2022-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.