Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Justin Jon Phillip Carl, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1609115336

Dr. Justin Jon Phillip Carl, DDS is an Oral and Maxillofacial Surgery (Dentist) in San Diego, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2
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

1225 Island Ave Unit 204
San Diego, CA 92101-7567
Phone: (209) 406-4508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 61913 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 61913 (CA)

Record details

NPI number1609115336
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 31, 2013
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

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