OrganizationActive
Advanced Dentistry of San Diego
NPI 1477991404 · Dentist · Vista, CA
Advanced Dentistry of San Diego is a Dentist organization in Vista, CA (NPI 1477991404).
Provider details
- NPI number
- 1477991404
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michael Maksim, Owner(760) 726-5703
- License
- 35429 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 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
630 S Melrose Dr Ste B
Vista, CA 92081-6626
Phone: (760) 726-5703
Street-level locationGet directions
Mailing address
630 S Melrose Dr Ste B
Vista, CA 92081-6626
Registry dates
- Enumerated
- 2013-06-12
- Last updated
- 2013-06-12
Frequently asked questions
- What is Advanced Dentistry of San Diego's NPI number?
- Advanced Dentistry of San Diego's National Provider Identifier (NPI) is 1477991404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dentistry of San Diego?
- Advanced Dentistry of San Diego is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Advanced Dentistry of San Diego located?
- Advanced Dentistry of San Diego's practice location on file with NPPES is 630 S Melrose Dr Ste B, Vista, CA 92081-6626.
- What is Advanced Dentistry of San Diego's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dentistry of San Diego is (760) 726-5703.
- Who is the authorized official for Advanced Dentistry of San Diego?
- The authorized official listed on Advanced Dentistry of San Diego's NPPES record is Michael Maksim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dentistry of San Diego's NPI active?
- Yes — Advanced Dentistry of San Diego's NPI (1477991404) is active in the NPPES registry as of the last update on 2013-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.