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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1780755959

Dr. Gregg W. Beaty, DDS is an Oral and Maxillofacial Surgery (Dentist) in San Diego, California. Licensed in California and Wisconsin. Registered with an NPI since 2006.

Licensed in
CA, WI
In the registry since
2006
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.

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Practice location Address checks out

3737 Moraga Ave Ste B-200
San Diego, CA 92117-5404
Phone: (858) 272-7086
Fax: (858) 272-7289
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Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 034467 (CA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 4036-015 (WI)

Record details

NPI number1780755959
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESJuly 8, 2007

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