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

Westside Pediatric Dental Group

Organization Pediatric Dentistry · NPI 1235506312

Westside Pediatric Dental Group is a Pediatric Dentistry in Santa Monica, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

1304 15th St Ste 206
Santa Monica, CA 90404-1811
Phone: (310) 451-5748
Fax: (310) 393-9528
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 39266 (CA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 59919 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 31742 (CA)

Record details

NPI number1235506312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emmanuel Gross — Owner · (310) 451-5748
NPI enumeratedAugust 25, 2015
Last updated in NPPESAugust 25, 2015
Mailing address1304 15th St Ste 206, Santa Monica, CA 90404-1811

Other providers in Santa Monica