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

Jack Elliot Wasserstein, DDS

Individual provider Periodontics · NPI 1548574767

Jack Elliot Wasserstein, DDS is a Periodontics in Valencia, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
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.

See every abbreviation used in this directory →

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Practice location Address checks out

27450 Tourney Rd Ste 100
Valencia, CA 91355-1828
Phone: (661) 254-8484
Fax: (661) 254-8669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 36297 (CA)

Record details

NPI number1548574767
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 29, 2010
Last updated in NPPESJuly 29, 2010
Mailing address27450 Tourney Rd, Suite 100, Valencia, CA 91355-1828

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