Organization · Type 2 NPI

University of the Pacific

Orthodontics and Dentofacial Orthopedics Dentistry · San Francisco, CA

NPI number 1316074149 Active

Practice location

155 5th St, Suite 3E
San Francisco, CA 94103-2919

Fax (415) 929-6654

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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NPI record

NPI: 1316074149
Entity type: Organization (Type 2)
Issued: Feb 28, 2007
Last updated: May 17, 2022
Status: Active
Subpart: Yes of University of the Pacific

Other names

<unavail>
Orthodontics Clinic · other name

Authorized official

Mr. Ed Pegueros
Asst Dean, Budget & Fin Admin
(415) 351-7192

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About NPI 1316074149

University of the Pacific's National Provider Identifier is 1316074149, issued on Feb 28, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Francisco, CA. The record was last updated on May 17, 2022.