OrganizationActive
Branch Dental Clinic Edson Range Annex
NPI 1558548008 · Dental Clinic/Center · Camp Pendleton, CA
Provider details
- NPI number
- 1558548008
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Naval Hospital Camp Pendleton
- Organization subpart
- Yes
- Authorized official
- William Condon, Navy Medicine Ubo Program Manager(240) 401-3643
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
14th Street
Building 13128
Camp Pendleton, CA 92055
Phone: (760) 725-3213
Fax: (760) 725-8223
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 555221
Camp Pendleton, CA 92055-5221
Registry dates
- Enumerated
- 2008-01-28
- Last updated
- 2018-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.