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

Dr. Marc Dentico-Olin, DMD, MD

Individual provider Specialist · NPI 1629205174

Dr. Marc Dentico-Olin, DMD, MD is an Oral Surgery in San Diego, California. Graduated from Icahn School of Medicine at Mount Sinai in 2012, 14 years ago. Practices with On Call Specialists Medical Group of San Diego Inc, a 144-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
CA
In the registry since
2009
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

501 Washington St Ste 710
San Diego, CA 92103-2231
Phone: (619) 295-6774
Fax: (619) 295-6776
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 8008 Frost St, San Diego, CA 92123-4205 — (858) 292-6033

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence A143794 (CA)
Specialist Taxonomy 174400000X · Licence A143794 (CA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence OMS109 (CA)

Record details

NPI number1629205174
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedJune 11, 2009
Last updated in NPPESJune 19, 2020
Certification dateJune 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2012 (14 years in practice)
Group practice On Call Specialists Medical Group Of San Diego Inc — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Diego