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

Peninsula Pediatric Dental Practice

Organization Pediatric Dentistry · NPI 1639590003

Peninsula Pediatric Dental Practice is a Pediatric Dentistry in San Mateo, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

50 S San Mateo Dr Ste 160
San Mateo, CA 94401-3859
Phone: (650) 375-8300
Fax: (650) 375-8130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 61391 (CA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 22673 (CA)

Record details

NPI number1639590003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Murray — Office Manager · (650) 375-8300
NPI enumeratedJanuary 2, 2014
Last updated in NPPESJanuary 2, 2014
Mailing address50 S San Mateo Dr Ste 160, San Mateo, CA 94401-3859

Other providers in San Mateo