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

Dr. Jacqueline Elise Cootes

Individual provider General Practice Dentistry · NPI 1578283321

Dr. Jacqueline Elise Cootes is a General Practice Dentistry in San Pedro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

732 W 9th St Ste 204
San Pedro, CA 90731-3629
Phone: (310) 833-1386
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 107943 (CA)

Record details

NPI number1578283321
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 31, 2022
Last updated in NPPESMay 1, 2023
Certification dateApril 30, 2023
Mailing address42 Eastfield Dr, Rolling Hills, CA 90274-5262

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