What is Jac Pedersen's NPI number?

Jac Pedersen's National Provider Identifier (NPI) is 1952553091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jac Pedersen's specialty?

Jac Pedersen is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).

Where is Jac Pedersen located?

Jac Pedersen's practice location on file with NPPES is 3221 S Higuera St, San Luis Obispo, CA 93401-6924.

What is Jac Pedersen's phone number?

The practice phone number listed in the NPPES registry for Jac Pedersen is (805) 544-8111.

Is Jac Pedersen's NPI active?

Yes — Jac Pedersen's NPI (1952553091) is active in the NPPES registry as of the last update on 2008-10-21.

IndividualActive

Jac Pedersen, D.D.S.

NPI 1952553091 · Pediatric Dentistry · San Luis Obispo, CA

Jac Pedersen, D.D.S. is a Pediatric Dentistry provider in San Luis Obispo, CA (NPI 1952553091).

Provider details

NPI number: 1952553091
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: Yes
License: 27472 (CA)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense 27472 (CA)
Dental Providers

Profile Score

Detailed profile(86/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 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

3221 S Higuera St

Ste. 100

San Luis Obispo, CA 93401-6924

Phone: (805) 544-8111

Fax: (805) 544-6309

Street-level locationGet directions

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Mailing address