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

Stephens Dental

Organization General Practice Dentistry · NPI 1134058738

Stephens Dental is a General Practice Dentistry in San Diego, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3588 4th Ave Ste 300
San Diego, CA 92103-4947
Phone: (619) 497-0122
Fax: (619) 497-0264
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1134058738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaylord Medallon — Manager · (619) 497-0122
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address3588 4th Ave Ste 300, San Diego, CA 92103-4947

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