Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Elliot Wasserstein, DDS

Individual provider Periodontics · NPI 1548574767

Jack Elliot Wasserstein, DDS is a Periodontics in Valencia, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

27450 Tourney Rd Ste 100
Valencia, CA 91355-1828
Phone: (661) 254-8484
Fax: (661) 254-8669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 36297 (CA)

Record details

NPI number1548574767
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 29, 2010
Last updated in NPPESJuly 29, 2010

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