DR. JORDAN WILLIAM TRETBAR DDS NPI 1558066118

NPI Information

  • NPI: 1558066118
  • Provider Name: DR. JORDAN WILLIAM TRETBAR, DDS
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 13TH ADC, 1ST DENTAL BATTALION/NAVAL DENTAL CENTER
    CAMP PENDLETON BLDG. 13128 14TH STREET
    CAMP PENDLETON, CA
    ZIP 92055
  • Phone: (714) 681-6944

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NPI Details

DR. Jordan William Tretbar, DDS is a student in an organized health care education training program in Camp Pendleton, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jordan William Tretbar, DDS NPI is 1558066118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13TH ADC, 1ST DENTAL BATTALION/NAVAL DENTAL CENTER
CAMP PENDLETON BLDG. 13128 14TH STREET
CAMP PENDLETON, CA
ZIP 92055-221
Phone: (714) 681-6944

The enumeration date for this NPI number is 4/3/2023 and was last updated on 4/3/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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