Stephens Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STEPHENS DENTAL

Practice address

3588 4TH Ave Ste 300
San Diego, CA 92103-4947

Phone

(619) 497-0122

Fax

(619) 497-0264

NPI assigned

May 18, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jaylord Medallon

Title

Manager

Phone

(619) 497-0122

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Evan Stephens, DDS

  • Dentist
  • San Diego, CA
  • NPI 1417063942
  NPD
• Bruce Matthew Thompson, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1457459554
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1134058738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3588 4TH AVE STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034947",
            "telephone_number": "619-497-0122",
            "fax_number": "619-497-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3588 4TH AVE STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034947",
            "telephone_number": "619-497-0122",
            "fax_number": "619-497-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "MEDALLON",
        "authorized_official_first_name": "JAYLORD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-497-0122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen M. Daquino, DO; Inc
• Stephen Wagers, D.P.M., a.P.C.
• Amy L. Stephen, MSW, LCSW
• Janetta Sue Stephen, LMFT
• Michael Ledell Stephen Jr., RADT
• Stephens Therapy Associates, Inc.
• Andrea B.D. Stephens, PA-C
• Bona Dhea Moana Castillo Stephens, NP-BC
• Brenda Lynne Menchaca Stephens, LPCC
• Heather L. Stephens, PSY.D.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.