Individual provider · Type 1 NPI

Paul Mirdamadi, DDS

Oral and Maxillofacial Surgery (Dentist) · Encinitas, CA

NPI number 1174000574 Active

Practice location

511 Encinitas Blvd Ste 118-120
Encinitas, CA 92024-3775

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD011746 (AZ)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDDS104753 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1174000574

Paul Mirdamadi, DDS's National Provider Identifier is 1174000574, issued on Jul 27, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Encinitas, CA. The record was last updated on Dec 31, 2025.