Dr. Jac W Pedersen Ii
D.D.S. | Pediatric Dentist
3221 S Higuera St, Ste. 100, San Luis Obispo
California, 93401-6924
805-544-8111 805-544-6309
Maps & DirectionsDr. Jac W Pedersen Ii is a San Luis Obispo, California based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jac W Pedersen Ii is
27472 for Pediatric Dentistry in California. His current practice location is
3221 S Higuera St, Ste. 100, San Luis Obispo. Patients can reach him at
805-544-8111.
Dr. Jac W Pedersen Ii 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 Profile:
Dr. Jac W Pedersen Ii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jac W Pedersen Ii |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3221 S Higuera St, Ste. 100, San Luis Obispo,
California, 93401-6924 |
| Phone: | 805-544-8111 |
| Fax: | 805-544-6309 |
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 are as mentioned below.
| NPI Number: | 1952553091 |
| NPI Enumeration Date: | 21 Oct, 2008 |
| NPI Last Update On: | 21 Oct, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jac W Pedersen Ii are as mentioned below.
| License Number | Specialization | State | Status | |
| 27472 | Pediatric Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3221 S Higuera St, Ste. 100
San Luis Obispo, California |
| Zip: | 93401-6924 |
| Phone Number: | 805-544-8111 |
| Fax Number: | 805-544-6309 |
Patients can reach Dr. Jac W Pedersen Ii at
3221 S Higuera St, Ste. 100, San Luis Obispo, California or can
call to book an appointment on 805-544-8111.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.