Organization Active NPI

Santee Cottonwood Dental

  • General Practice Dentistry
  • Santee, CA
National Provider Identifier
1760490650
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18311 Issued in CA
Legal business name
SANTEE COTTONWOOD DENTAL
Practice address
9715 Mission Gorge Rd
Santee, CA 92071-3809
Phone
(619) 448-7444
Fax
(619) 448-7147
NPI assigned
Aug 4, 2006
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Donald Roman Dombrow, DDS
Title
Owner
Phone
(619) 448-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18311 CA Primary

Addresses

Primary practice location

9715 Mission Gorge Rd
Santee, CA 92071-3809

Mailing address

9715 Mission Gorge Rd
Santee, CA 92071-3809
Phone (619) 448-7444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1760490650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713809",
            "telephone_number": "619-448-7444",
            "fax_number": "619-448-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713809",
            "telephone_number": "619-448-7444",
            "fax_number": "619-448-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTEE COTTONWOOD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "DOMBROW",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-448-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "18311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.