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

Ellen Im DDS Inc

Organization Pediatric Dentistry · NPI 1861091720

Ellen Im DDS Inc is a Pediatric Dentistry in Poway, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13422 Pomerado Rd Ste 201
Poway, CA 92064-3548
Phone: (858) 679-6660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1861091720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Im — Owner/Operator · (858) 679-6660
Other names Dr. Ellen Im Pediatric Dentistry And Orthodontics
NPI enumeratedOctober 21, 2020
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021
Mailing address13422 Pomerado Rd Ste 201, Poway, CA 92064-3548

Other providers in Poway