Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Advanced Dentistry of San Diego

Organization Dentist · NPI 1477991404

Advanced Dentistry of San Diego provides Dentist services in Vista, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
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Practice location Address checks out

630 S Melrose Dr Ste B
Vista, CA 92081-6626 Not confirmed with CMS for 13 years — call before visiting
Phone: (760) 726-5703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 35429 (CA)

Record details

NPI number1477991404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Maksim — Owner · (760) 726-5703
NPI enumeratedJune 12, 2013
Last updated in NPPESJune 12, 2013
Mailing address630 S Melrose Dr Ste B, Vista, CA 92081-6626

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