Organization · Type 2 NPI

University of the Pacific

Oral and Maxillofacial Surgery (Dentist) · San Francisco, CA

NPI number 1508294927 Active

Practice location

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

Call (415) 929-6617 Map

Fax (415) 794-3305

Mailing address

155 5th St Ste 3F
San Francisco, CA 94103-2919

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed
Oral and Maxillofacial Surgery Clinic/Center	261QS0112X	None listed

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.

75 other providers at this address

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NPI record

NPI: 1508294927
Entity type: Organization (Type 2)
Issued: Oct 22, 2013
Last updated: Dec 1, 2022
Status: Active
Subpart: Yes of University of the Pacific

Other names

<unavail>
Arthur A. Dugoni School of Dentistry Omfs Clinic · other name

Authorized official

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

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508294927

University of the Pacific's National Provider Identifier is 1508294927, issued on Oct 22, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Francisco, CA. The record was last updated on Dec 1, 2022.