DR. JUSTIN JON PHILLIP CARL DDS NPI 1609115336

NPI Information

  • NPI: 1609115336
  • Provider Name: DR. JUSTIN JON PHILLIP CARL, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 1225 ISLAND AVE UNIT 204
    SAN DIEGO, CA
    ZIP 92101
  • Phone: (209) 406-4508

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NPI Details

DR. Justin Jon Phillip Carl, DDS is an oral and maxillofacial surgery dentist in San Diego, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Justin Jon Phillip Carl, DDS NPI is 1609115336. 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:

1225 ISLAND AVE UNIT 204
SAN DIEGO, CA
ZIP 92101-567
Phone: (209) 406-4508

The enumeration date for this NPI number is 1/31/2013 and was last updated on 6/10/2021.

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
11223G0001XDentistGeneral Practice61913CALIFORNIANo
21223S0112XDentistOral and Maxillofacial Surgery61913CALIFORNIAYes

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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