SAN DIEGO DENTAL ANESTHESIA NPI 1710548375

NPI Information

SAN DIEGO DENTAL ANESTHESIA is a dentist anesthesiologist dentist in Carlsbad, CA. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. SAN DIEGO DENTAL ANESTHESIA NPI is 1710548375. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1287 CARLSBAD VILLAGE DRIVE
CARLSBAD, CA
ZIP 92008
Phone: (619) 339-0760

The provider's authorized official is Tyler Johnson .
The authorized official title is President and has the following contact phone number (619) 339-0760.

The enumeration date for this NPI number is 6/25/2019 and was last updated on 6/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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