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Pure Smile Dental Group

Dental Clinic/Center in South San Francisco, CA · enumerated 2012 · authorized official Moutaz Kotrob, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609141274

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Registry record

Entity type Organization (Type 2)
Legal business name Pure Smile Dental Group
Practice address 1133 El Camino Real Ste 5, South San Francisco, CA, 94080
Fax (650) 244-9284
Enumeration date Mar 15, 2012
Last updated in NPPES Mar 15, 2012

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 55981 (CA) Primary

Authorized official

Name Moutaz Kotrob
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pure Smile Dental Group?
Pure Smile Dental Group is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-15.