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

Dr. Jonathan H. DO, DDS

Individual provider Periodontics · NPI 1467770164

Dr. Jonathan H. DO, DDS is a Periodontics in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
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

11665 Avena Pl Ste 106
San Diego, CA 92128-2427
Phone: (858) 375-6585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 58546 (CA)

Record details

NPI number1467770164
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 6, 2010
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address11665 Avena Pl Ste 106, San Diego, CA 92128-2427

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