Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
OMER M ANISSO DDS INC
Active
Organization
OMER M ANISSO DDS INC
Active
Other names
La Costa Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
OMER ANISSO DDS (OWNER)
(760) 436-2452
Entity
Organization
Contact information
Practice address
501 N EL CAMINO REAL STE 200, ENCINITAS, CA 92024-1335
(760) 436-2452
Mailing address
501 N EL CAMINO REAL STE 200, ENCINITAS, CA 92024-1335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54467
CA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/05/2014
Last updated
02/09/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up