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

Dr. Justin Charles Mirande, DDS

Individual provider Dentist · NPI 1760829774

Dr. Justin Charles Mirande, DDS is a Dentist in Vista, California. Licensed in Arizona, California, Illinois and Tennessee. Registered with an NPI since 2013.

Licensed in
AZ, CA, IL, TN
In the registry since
2013
Specialties on file
4
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

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone: (760) 631-5000
Fax: (760) 414-3892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DDS107398 (CA)
Dentist Taxonomy 122300000X · Licence D008719 (AZ)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019030118 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9920 (TN)

Record details

NPI number1760829774
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 30, 2013
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

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