# UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF THE PACIFIC
- **Other names:** Hospital Dentistry Special Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134256969
- **Legal business name:** UNIVERSITY OF THE PACIFIC
- **Authorized official:** ED PEGUEROS (ASST DEAN, BUDGET & FIN ADMIN)
- **Authorized official phone:** (415) 351-7192

## Contact information

- **Practice address:** 155 5TH ST STE 2F, HOSPITAL DENTISTRY SPECIAL CARE CLINIC, SAN FRANCISCO, CA 94103-2919
- **Practice address phone:** (415) 929-6617
- **Practice address fax:** (415) 929-6654
- **Mailing address:** 155 5TH ST STE 2F, HOSPITAL DENTISTRY SPECIAL CARE CLINIC, SAN FRANCISCO, CA 94103-2919
- **Mailing address phone:** (415) 929-6617
- **Mailing address fax:** (415) 929-6654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223D0001X | Public Health Dentistry | — | CA | Yes |
| 1223G0001X | General Practice Dentistry | — | CA | — |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 07/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G01001-04 | DENTI-CAL IDENTIFICATION | CA |