Individual provider · Type 1 NPI

Jac W. Pedersen Ii, DDS

Pediatric Dentistry · San Luis Obispo, CA

NPI number 1952553091 Active

Practice location

3221 S Higuera St, Ste. 100
San Luis Obispo, CA 93401-6924

Call (805) 544-8111 Map

Fax (805) 544-6309

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X27472 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3 other providers at this address

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About NPI 1952553091

Jac W. Pedersen Ii, DDS's National Provider Identifier is 1952553091, issued on Oct 21, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Luis Obispo, CA. The record was last updated on Oct 21, 2008.