DR. TODD WEBSTER PACOFSKY (NPI# 1699815852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699815852 |
| Entity Type | Individual |
| Full Name | DR. TODD WEBSTER PACOFSKY |
| Credential | DMD |
| Practice Address |
2446 Fenton St Suite 102 Chula Vista CA 91914-3516 |
| Practice Telephone | 6192161100 |
| Practice Fax Number | 6192161127 |
| Mailing Telephone | 6192161100 |
| Mailing Fax Number | 6192161127 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
50503 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | D50503 | 05 |
| Street Address |
2446 FENTON ST SUITE 102 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91914-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029028 | Brian T. Tanaka, D.m.d., A.p.c. | Dentist | 2446 Fenton St, Suite 101, Chula Vista, CA 91914-3516 | 2005-10-31 |
| 1194052613 | Brian T Tanaka | Dentist | 2446 Fenton St, Suite 101, Chula Vista, CA 91914-3516 | 2009-11-04 |
| 1538356241 | Dino B Del Fierro | Dentist | 2446 Fenton St, Suite 102, Chula Vista, CA 91914-3516 | 2007-09-26 |
| 1467649350 | South Bay Pediatric Dental Group | Dentist | 2446 Fenton St, Suite 102, Chula Vista, CA 91914-3516 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447785811 | Tania Marie Beaudoin | Social Worker | 2580 Catamaran Way Ste 103, Chula Vista, CA 91914 | 2017-04-24 |
| 1477090447 | Leaha Elrod | Speech-Language Pathologist | 2985 Stevenson Ranch Ct, Chula Vista, CA 91914 | 2017-01-27 |
| 1205382934 | Jessica Lexanne Morris | Occupational Therapy Assistant | 861 Harold Pl, Chula Vista, Chula Vista, CA 91914 | 2016-09-01 |
| 1821457169 | Eagles Wings Home Care Inc. | Clinic/Center | 2529 Saddlehorn Dr., Chula Vista, CA 91914 | 2016-02-15 |
| 1609217355 | Joanna Sarao Songcuan | Marriage & Family Therapist | 2400 Fenton St Ste 217, Chula Vista, CA 91914 | 2013-07-10 |
| 1891043477 | Deanna Risos Dmd,pc. | Dentist | 841 Kuhn Dr. Ste # 102, Chula Vista, CA 91914 | 2012-08-29 |
| 1417262718 | Lisa Alvarez | Nurse Practitioner | 891 Bryce Ave, Chula Vista, CA 91914 | 2010-08-11 |
| 1164669123 | Guadalupe Marquez | Dentist | 2452 Fenton St Ste 200, Chula Vista, CA 91914 | 2009-01-13 |
| 1750537379 | Christina Marie Morris | Registered Nurse | 595 Northbrook Ave., Chula Vista, CA 91914 | 2008-08-14 |
| 1114113008 | Adrian Avila | Marriage & Family Therapist | 2560 Catamaran Way, Chula Vista, CA 91914 | 2007-09-24 |
| Find all providers in zip 91914 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578942942 | Emily Vaccarezza | Dentist | 2446 Fenton St Ste 102, Chula Vista, CA 91914-3516 | 2015-05-19 |
| 1710234935 | David Corey Patterson | Dentist | 397 E Street, Chula Vista, CA 91910 | 2012-08-07 |
| 1679838528 | Rayna Tovah Karoll | Dentist | 222 3rd Ave, Chula Vista, CA 91910-2711 | 2012-07-06 |
| 1942580923 | Vivien Lao | Dentist | 2226 Otay Lakes Rd Ste Aandb, Chula Vista, CA 91915-1000 | 2011-08-23 |
| 1861668451 | Benita Janine De Mirza | Dentist | 345 F St Ste 260, Chula Vista, CA 91910-2649 | 2008-05-02 |
| 1356471460 | Safoura Massoumi Professional Dental Corp. | Dentist | 397 E Street Suite A, Chula Vista, CA 91910 | 2007-03-07 |
| 1497823561 | Safoura Massoumi | Dentist | 397 E St, Ste #a, Chula Vista, CA 91910 | 2006-11-30 |
| 1730251851 | Nazli Keri | Dentist | 2226 Otay Lakes Rd Ste A, Chula Vista, CA 91915-1000 | 2006-11-14 |
| 1093733925 | Ilse Savelli | Dentist | 355 K St, Suite A, Chula Vista, CA 91911-1209 | 2006-07-18 |
| 1255857942 | Emily Vaccarezza, Dds, Inc | Dentist | 2446 Fenton St Ste 102, Chula Vista, CA 91914-3516 | 2017-08-15 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91914 |
Please comment or provide details below to improve the information on DR. TODD WEBSTER PACOFSKY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.