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

Mark Bellisario

Individual provider Dentist · NPI 1497163711

Mark Bellisario is a Dentist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

823 Gateway Center Way
San Diego, CA 92102-4541
Phone: (619) 515-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 60996 (CA)

Record details

NPI number1497163711
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 30, 2014
Last updated in NPPESJuly 30, 2014

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