OrganizationActive
Steven P. Theodosis Dental Corporation
NPI 1760102628 · Dental Clinic/Center · San Diego, CA
Provider details
- NPI number
- 1760102628
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steven Theodosis, Authorized Official(847) 778-1423
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
7805 Highland Village Pl Ste G105
San Diego, CA 92129-5181
Phone: (650) 922-0897
Street-level locationGet directions
Mailing address
23911 Danzig Bay
Dana Point, CA 92629-4407
Registry dates
- Enumerated
- 2022-08-31
- Last updated
- 2026-02-13
- Certified
- 2026-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.