Organization Active NPI

San Pedro Smiles Dentistry, Inc.

Doing business as San Pedro Smiles Dentistry

  • General Practice Dentistry
  • Rancho Palos Verdes, CA
National Provider Identifier
1447131867
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAN PEDRO SMILES DENTISTRY, INC.
Doing business as
San Pedro Smiles Dentistry
Practice address
29121 S Western Ave
Rancho Palos Verdes, CA 90275-1125
Phone
(310) 594-7338
Fax
(310) 594-7987
NPI assigned
Sep 11, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Yong In Joung, DDS
Title
Owner
Phone
(310) 594-7338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

29121 S Western Ave
Rancho Palos Verdes, CA 90275-1125

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890

Other names 1

  • San Pedro Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

29121 S Western Ave
Rancho Palos Verdes, CA 90275
Phone (310) 594-7338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1447131867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29121 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751125",
            "telephone_number": "310-594-7338",
            "fax_number": "310-594-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PEDRO SMILES DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JOUNG",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "IN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-594-7338",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Pedro Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.