Individual provider · Type 1 NPI

Maura Kathleen Pezzulla, DMD

Dentist · San Diego, CA

NPI number 1780412072 Active

Practice location

2841 Rendova Rd
San Diego, CA 92155-1098

Mailing address

1373 Oliver Ave Apt B
San Diego, CA 92109-5164

Other practice locations

  • 2310 Craven St Bldg 3230, San Diego, CA 92136-1098 · (619) 556-8240

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X14015702-9926 (UT)

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 1780412072

Maura Kathleen Pezzulla, DMD's National Provider Identifier is 1780412072, issued on Jul 26, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Diego, CA. The record was last updated on Jul 28, 2025.