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

Dr. Mark R Medina, DDS

Individual provider Dentist · NPI 1932442332

Dr. Mark R Medina, DDS is a Dentist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
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

9955 Carmel Mountain Rd Ste 4
San Diego, CA 92129-2815
Phone: (858) 484-3100
Fax: (858) 484-8510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 25595 (CA)

Record details

NPI number1932442332
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 3, 2013
Last updated in NPPESApril 3, 2013

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