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

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1255425609

John S Kishibay, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Santa Monica, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2601 Ocean Park Blvd 304
Santa Monica, CA 90405-5210
Phone: (310) 581-5757
Fax: (310) 581-5759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 27778 (CA)

Record details

NPI number1255425609
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESDecember 4, 2012

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