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

John Pedersen D D S Inc

Organization General Practice Dentistry · NPI 1811180995

John Pedersen D D S Inc is a General Practice Dentistry in Los Angeles, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
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

12504 W Washington Blvd
Los Angeles, CA 90066-5506
Phone: (310) 390-6272
Fax: (310) 390-6674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1811180995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lois Evans — Administrator · (310) 390-6272
Other names Culver Westside Dental Group
NPI enumeratedAugust 22, 2007
Last updated in NPPESAugust 22, 2007
Mailing address12504 W Washington Blvd, Los Angeles, CA 90066-5506

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