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

Individual provider Pediatric Dentistry · NPI 1952553091

Dr. Jac W Pedersen II, DDS is a Pediatric Dentistry in San Luis Obispo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
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

3221 S Higuera St Ste 100
San Luis Obispo, CA 93401-6924
Phone: (805) 544-8111
Fax: (805) 544-6309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 27472 (CA)

Record details

NPI number1952553091
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 21, 2008
Last updated in NPPESOctober 21, 2008

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