Organization
UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY
Active
Parent organization
UNIVERSITY OF THE PACIFIC
Other names
Hospital Dentistry Special Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF THE PACIFIC
Authorized official
ED PEGUEROS (ASST DEAN, BUDGET & FIN ADMIN)
(415) 351-7192
Entity
Organization
Contact information
Practice address
155 5TH ST STE 2F, HOSPITAL DENTISTRY SPECIAL CARE CLINIC, SAN FRANCISCO, CA 94103-2919
(415) 929-6617
(415) 929-6654
Mailing address
155 5TH ST STE 2F, HOSPITAL DENTISTRY SPECIAL CARE CLINIC, SAN FRANCISCO, CA 94103-2919
(415) 929-6617
(415) 929-6654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
Primary
—
CA
1223G0001X
General Practice Dentistry
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G01001-04
DENTI-CAL IDENTIFICATION
CA
Enumeration date
02/28/2007
Last updated
07/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us