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

Pure Smile Dental Group

Organization Dental Clinic/Center · NPI 1609141274

Pure Smile Dental Group is a Dental Clinic/Center in South San Francisco, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

1133 El Camino Real Ste 5
South San Francisco, CA 94080-3288
Phone: (650) 244-9928
Fax: (650) 244-9284
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 55981 (CA)

Record details

NPI number1609141274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moutaz Kotrob — Owner · (650) 244-9928
NPI enumeratedMarch 15, 2012
Last updated in NPPESMarch 15, 2012
Mailing address1133 El Camino Real Ste 5, South San Francisco, CA 94080-3288

Other providers in South San Francisco