Steven P. Theodosis Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STEVEN P. THEODOSIS DENTAL CORPORATION

Practice address

7805 Highland Village PL Ste G105
San Diego, CA 92129-5181

Phone

(650) 922-0897

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Steven Paul Theodosis

Title

Authorized Official

Phone

(847) 778-1423

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1760102628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23911 DANZIG BAY",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 HIGHLAND VILLAGE PL STE G105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921295181",
            "telephone_number": "650-922-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P. THEODOSIS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "THEODOSIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "847-778-1423",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.