Organization
SOUTH BAY PEDIATRIC DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD W PACOFSKY DMD (PARTNER)
(619) 216-1100
Entity
Organization
Contact information
Practice address
2446 FENTON ST, SUITE 102, CHULA VISTA, CA 91914-3516
(619) 216-1100
(619) 216-1127
Mailing address
2446 FENTON ST, SUITE 102, CHULA VISTA, CA 91914-3516
(619) 216-1100
(619) 216-1127
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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