Individual provider · Type 1 NPI

Jacob Wassily

General Practice Dentistry · Redondo Beach, CA

NPI number 1497660765 Active

Practice location

2219 Belmont Ln
Redondo Beach, CA 90278-5017

Call (310) 347-6976 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X113763 (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 1497660765

Jacob Wassily's National Provider Identifier is 1497660765, issued on Aug 18, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Redondo Beach, CA. The record was last updated on Aug 18, 2026.