Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pediatric Dentistry of San Clemente

Dental Clinic/Center in San Clemente, CA · enumerated 2023 · authorized official Jacob Lee, Ceo.

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

National Provider Identifier

1902687346

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Pediatric Dentistry of San Clemente

Practice address 903 Calle Amanecer Ste 110, San Clemente, CA, 92673

Phone (949) 361-2838

Enumeration date Oct 11, 2023

Last updated in NPPES Oct 11, 2023

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jacob Lee

Title Ceo

Phone (949) 361-2838

Other identifiers

Identifier	Type	State	Issuer
1790281202	Other	CA	NPPES
1083768725	Other	CA	NPPES
1437689395	Other	CA	NPPES

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.

Read the full guide → Validate an NPI →

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 Pediatric Dentistry of San Clemente?

Pediatric Dentistry of San Clemente is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).

Providers at this address

Browse all →

Aaron Lee Pediatric Dentistry · San Clemente, CA NPI 1437689395 Crystal Lee General Practice Dentistry · San Clemente, CA NPI 1790281202

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-11.