Individual provider · Type 1 NPI
John Pedersen, DDS
Dentist · Los Angeles, CA
Practice location
12504 W Washington Blvd, Los Angeles
Los Angeles, CA 90066
Fax (310) 390-6674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 23409 (CA) |
Dentist: 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 requiremen…
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About NPI 1295780922
John Pedersen, DDS's National Provider Identifier is 1295780922, issued on May 23, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 27, 2026.