Organization Active NPI

Dental Excellence Inc.

  • Dentist
  • San Clemente, CA
National Provider Identifier
1205989852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35490 Issued in CA
Legal business name
DENTAL EXCELLENCE INC.
Practice address
675 Camino de Los Mares
San Clemente, CA 92673-2835
Phone
(949) 248-2525
Fax
(949) 248-0909
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alexander Eidelstein, D.D.S.
Title
Dentist
Phone
(949) 248-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 35490 CA Primary

Addresses

Primary practice location

675 Camino de Los Mares
San Clemente, CA 92673-2835

Mailing address

675 Camino de Los Mares
San Clemente, CA 92673-2835
Phone (949) 248-2525

National Provider Directory

National Provider Directory

Locations

675 Camino de los Mares
San Clemente, CA 92673
Phone (714) 741-3176

675 Camino de los Mares
Ste 501
San Clemente, CA 92673
Phone (949) 207-3317

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205989852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732835",
            "telephone_number": "949-248-2525",
            "fax_number": "949-248-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732835",
            "telephone_number": "949-248-2525",
            "fax_number": "949-248-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL EXCELLENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EIDELSTEIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-248-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.