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

Individual provider Dentist · NPI 1740409820

Dr. Jason Daniel Mirabile, DDS is a Dentist in Santa Monica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

1304 15th St Ste 305
Santa Monica, CA 90404-1812
Phone: (310) 319-9300
Fax: (310) 319-9320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 49147 (CA)

Record details

NPI number1740409820
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 25, 2007
Last updated in NPPESAugust 11, 2014

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