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

Jessica Marie Reyes Manzano, DDS

Individual provider Dentist · NPI 1124984612

Jessica Marie Reyes Manzano, DDS is a Dentist in San Diego, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
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

9225 Mira Mesa Blvd Ste 104
San Diego, CA 92126-4810
Phone: (858) 536-9383
Fax: (858) 536-9395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 112495 (CA)

Record details

NPI number1124984612
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

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