Pure Smile Dental Group
NPI 1609141274 · Dental Clinic/Center · South San Francisco, CA
Pure Smile Dental Group is a Dental Clinic/Center organization in South San Francisco, CA (NPI 1609141274).
Provider details
- NPI number
- 1609141274
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Moutaz Kotrob, Owner(650) 244-9928
- License
- 55981 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2012-03-15
- Last updated
- 2012-03-15
Frequently asked questions
- What is Pure Smile Dental Group's NPI number?
- Pure Smile Dental Group's National Provider Identifier (NPI) is 1609141274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure Smile Dental Group?
- Pure Smile Dental Group is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pure Smile Dental Group located?
- Pure Smile Dental Group's practice location on file with NPPES is 1133 El Camino Real Ste 5, South San Francisco, CA 94080-3288.
- What is Pure Smile Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Pure Smile Dental Group is (650) 244-9928.
- Who is the authorized official for Pure Smile Dental Group?
- The authorized official listed on Pure Smile Dental Group's NPPES record is Moutaz Kotrob, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure Smile Dental Group's NPI active?
- Yes — Pure Smile Dental Group's NPI (1609141274) is active in the NPPES registry as of the last update on 2012-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.