PACIFIC HOLISTIC DENTAL INC. NPI 1780900480

NPI Information

  • NPI: 1780900480
  • Provider Name: PACIFIC HOLISTIC DENTAL, INC.
  • Classification: Dentist - 122300000X
  • Entity Type: Organization
  • Address: 530 W TEFFT ST
    NIPOMO, CA
    ZIP 93444
  • Phone: (805) 929-6814

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NPI Details

PACIFIC HOLISTIC DENTAL, INC. is a dentist in Nipomo, CA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. PACIFIC HOLISTIC DENTAL, INC. NPI is 1780900480. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

530 W TEFFT ST
NIPOMO, CA
ZIP 93444-946
Phone: (805) 929-6814
Fax: (805) 929-2047

The provider's authorized official is Edward Shapiro .
The authorized official title is Owner/ Operator and has the following contact phone number (805) 929-6814.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 9/26/2011.

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
1204E00000XOral & Maxillofacial Surgery57466CALIFORNIANo
21223E0200XDentistEndodontics57466CALIFORNIANo
31223G0001XDentistGeneral Practice57466CALIFORNIANo
41223P0106XDentistOral and Maxillofacial Pathology57466CALIFORNIANo
51223P0221XDentistPediatric Dentistry57466CALIFORNIANo
61223P0300XDentistPeriodontics57466CALIFORNIANo
71223P0700XDentistProsthodontics57466CALIFORNIANo
8171100000XAcupuncturist57466CALIFORNIANo
9208VP0000XPain MedicinePain MedicineNo
10208VP0014XPain MedicineInterventional Pain MedicineNo
11122300000XDentist57466CALIFORNIAYes

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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