Individual provider · Type 1 NPI

Lisa Michelle Carrington

Pediatric Dentistry · San Jose, CA

NPI number 1053940569 Active

Practice location

150 N Jackson Ave Ste 110
San Jose, CA 95116-1908

Mailing address

3282 Vals Ln
Lafayette, CA 94549-2611

Other practice locations

  • 925 W 34th St # 201J, Los Angeles, CA 90089-0058 · (925) 817-7685

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X105917 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1053940569

Lisa Michelle Carrington's National Provider Identifier is 1053940569, issued on Apr 6, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Jose, CA. The record was last updated on Jun 10, 2025.