Individual provider · Type 1 NPI

Doug Disraeli, DDS

General Practice Dentistry · San Diego, CA

NPI number 1376547703 Active

Practice location

3645 4th Ave
San Diego, CA 92103-4142

Call (619) 291-2980 Map

Fax (619) 291-2984

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X30322 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1376547703

Doug Disraeli, DDS's National Provider Identifier is 1376547703, issued on Jun 13, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Diego, CA. The record was last updated on Jul 13, 2026.