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Peninsula Pediatric Dental Practice

Pediatric Dentistry in San Mateo, CA · enumerated 2014 · authorized official Jan Murray, Office Manager.

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

National Provider Identifier

1639590003

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Registry record

Entity type Organization (Type 2)
Legal business name Peninsula Pediatric Dental Practice
Practice address 50 S San Mateo Dr Ste 160, San Mateo, CA, 94401
Phone (650) 375-8300
Fax (650) 375-8130
Enumeration date Jan 2, 2014
Last updated in NPPES Jan 2, 2014

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 22673 (CA) Secondary
1223P0221X Pediatric Dentistry Dental Providers · License 61391 (CA) Primary

Authorized official

Name Jan Murray
Title Office Manager
Phone (650) 375-8300

Other identifiers

Identifier Type State Issuer
1386792919 Other CA DENTICAL
1386792919 Other CA ALL INSURANCE CARRIER

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

Who is the authorized official for Peninsula Pediatric Dental Practice?
NPPES lists Jan Murray (Office Manager) as the authorized official for this organization.
What is the NPI number for Peninsula Pediatric Dental Practice?
The NPI for Peninsula Pediatric Dental Practice is 1639590003, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-02.