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

Dr. Stephen R Prevost, DDS

Individual provider General Practice Dentistry · NPI 1306064928

Dr. Stephen R Prevost, DDS is a General Practice Dentistry in Pacifica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

205 Rockaway Beach Ave
Pacifica, CA 94044-3262
Phone: (650) 355-3126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D21636 (CA)

Record details

NPI number1306064928
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 20, 2007
Last updated in NPPESJuly 8, 2007
Mailing address205 Rockaway Beach Ave, Pacifica, CA 94044-3262

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