Pediatric Dentistry of San Clemente
NPI 1902687346 · Dental Clinic/Center · San Clemente, CA
Pediatric Dentistry of San Clemente is a Dental Clinic/Center organization in San Clemente, CA (NPI 1902687346).
Provider details
- NPI number
- 1902687346
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Lee, Ceo(949) 361-2838
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
2 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
- 2023-10-11
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Frequently asked questions
- What is Pediatric Dentistry of San Clemente's NPI number?
- Pediatric Dentistry of San Clemente's National Provider Identifier (NPI) is 1902687346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of San Clemente?
- Pediatric Dentistry of San Clemente is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatric Dentistry of San Clemente located?
- Pediatric Dentistry of San Clemente's practice location on file with NPPES is 903 Calle Amanecer Ste 110, San Clemente, CA 92673-6253.
- What is Pediatric Dentistry of San Clemente's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of San Clemente is (949) 361-2838.
- Who is the authorized official for Pediatric Dentistry of San Clemente?
- The authorized official listed on Pediatric Dentistry of San Clemente's NPPES record is Jacob Lee, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of San Clemente's NPI active?
- Yes — Pediatric Dentistry of San Clemente's NPI (1902687346) is active in the NPPES registry as of the last update on 2023-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.