Individual provider · Type 1 NPI

Theodore Slagle, DMD

Dentist · San Diego, CA

NPI number 1730817404 Active

Practice location

5638 Mission Center Rd Ste 107
San Diego, CA 92108-4348

Call (215) 380-8689 Map

Mailing address

4770 Harbinson Ave
La Mesa, CA 91942-8755

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	DDS110296 (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 1730817404

Theodore Slagle, DMD's National Provider Identifier is 1730817404, issued on Aug 10, 2022. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Diego, CA. The record was last updated on Jun 26, 2026.