Jac W. Pedersen Ii, D.d.s., Inc is a Pediatric Dental Clinic in San Luis Obispo, California. It is located at 620 California Blvd Ste H, San Luis Obispo, CA and its contact number is 805-544-8111. The authorized person for Jac W. Pedersen Ii, D.d.s., Inc is Dr. Jac W. Pedersen Ii
who is Owner of the clinic and their contact number is 805-544-8111. Other organizations associated with this clinic are Jac W. Pedersen Ii, D.d.s., Inc, Forester Dds Inc, The primary license number for Jac W. Pedersen Ii, D.d.s., Inc is 27472 (Pediatric Dentistry) in California. Jac W. Pedersen Ii, D.d.s., Inc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Jac W. Pedersen Ii, D.d.s., Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Jac W. Pedersen Ii, D.d.s., Inc
Specialization:
Pediatric Dentistry
Clinic Address:
620 California Blvd Ste H, San Luis Obispo, California, 93401-2500
Phone:
805-544-8111
Fax:
805-544-6309
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jac W. Pedersen Ii
Position:
Owner
Contact Number:
805-544-8111
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jac W. Pedersen Ii, D.d.s., Inc clinic are as mentioned below.
NPI Number:
1194803049
NPI Enumeration Date:
01 Nov, 2006
NPI Last Update On:
22 Aug, 2020
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Jac W. Pedersen Ii, D.d.s., Inc
Pediatric Dentistry
1194803049
Forester Dds Inc
Orthodontics and Dentofacial Orthopedics
1518430800
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jac W. Pedersen Ii, D.d.s., Inc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
27472
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jac W. Pedersen Ii, D.d.s., Inc 620 California Blvd Ste H, San Luis Obispo, California
Zip:
93401-2500
Phone Number:
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Fax Number:
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Patients can reach Jac W. Pedersen Ii, D.d.s., Inc at 620 California Blvd Ste H, San Luis Obispo, California or can call to book an appointment on 805-544-8111. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.