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

Individual provider Pediatric Dentistry · NPI 1447884861

Adam Takeo Ellenthal, DDS, MPH is a Pediatric Dentistry in San Diego, California. Practices as a sole proprietor and works from 4 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

10717 Camino Ruiz Ste 103
San Diego, CA 92126-2310
Phone: (858) 536-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 17085 Camino San Bernardo Ste 260, San Diego, CA 92127-9700 — (858) 277-8086
  • 833 W San Marcos Blvd Ste 102, San Marcos, CA 92078-1112 — (760) 744-8600
  • 4050 Beyer Blvd, San Ysidro, CA 92173-2007 — (619) 662-4100

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 111647 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447884861
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MPH
Sole proprietorYes
NPI enumeratedFebruary 25, 2020
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

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