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

Mr. Jack Kavanaugh, MD, DDS

Individual provider General Practice Dentistry · NPI 1487797254

Mr. Jack Kavanaugh, MD, DDS is a General Practice Dentistry in Torrance, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
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

19019 Hawthorne Blvd Ste # 100 B
Torrance, CA 90503-1524
Phone: (310) 371-0113
Fax: (310) 371-1927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 23330 (CA)

Record details

NPI number1487797254
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DDS
Sole proprietorYes
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJuly 8, 2007
Mailing address19019 Hawthorne Blvd, Suite # 100 B, Torrance, CA 90503-1524

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