SIGNATURE ENDODONTICS NPI 1699899211

NPI Information

  • NPI: 1699899211
  • Provider Name: SIGNATURE ENDODONTICS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 2710 CAMINO CAPISTRANO
    SAN CLEMENTE, CA
    ZIP 92672
  • Phone: (949) 498-2115

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NPI Details

SIGNATURE ENDODONTICS is an endodontics dentist in San Clemente, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. SIGNATURE ENDODONTICS NPI is 1699899211. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2710 CAMINO CAPISTRANO
SAN CLEMENTE, CA
ZIP 92672-802
Phone: (949) 498-2115
Fax: (949) 498-2473

The provider's authorized official is Wyatt Donald Simons .
The authorized official title is Dentist and has the following contact phone number (949) 498-2115.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 6/25/2008.

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
11223E0200XDentistEndodonticsYes

What is NPI?

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

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