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

Pacific Holistic Dental, Inc

Organization Dentist · NPI 1780900480

Pacific Holistic Dental, Inc is a Dentist in Nipomo, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
11
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

530 W Tefft St
Nipomo, CA 93444-8946
Phone: (805) 929-6814
Fax: (805) 929-2047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 57466 (CA)
Endodontics Taxonomy 1223E0200X · Licence 57466 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 57466 (CA)
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X · Licence 57466 (CA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 57466 (CA)
Periodontics Taxonomy 1223P0300X · Licence 57466 (CA)
Prosthodontics Taxonomy 1223P0700X · Licence 57466 (CA)
Acupuncturist Taxonomy 171100000X · Licence 57466 (CA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 57466 (CA)
Pain Medicine Physician Taxonomy 208VP0000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1780900480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Shapiro — Owner/ Operator · (805) 929-6814
NPI enumeratedApril 20, 2010
Last updated in NPPESSeptember 26, 2011
Mailing address530 W Tefft St, Nipomo, CA 93444-8946

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