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

Jamie Innis

Individual provider Dentist · NPI 1720614639

Jamie Innis is a Dentist in Laguna Woods, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

25261 Paseo De Valencia Ste 1
Laguna Woods, CA 92637-4966
Phone: (949) 830-0340
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DDS106523 (CA)

Record details

NPI number1720614639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address1805 Crescent Oak, Irvine, CA 92618-4027

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