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

Shadi Kastenholz, DDS

Individual provider Dentist · NPI 1508112533

Shadi Kastenholz, DDS is a Dentist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
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

9484 Black Mountain Rd Ste E
San Diego, CA 92126-4520
Phone: (858) 271-9393
Fax: (858) 271-9696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 56615 (CA)

Record details

NPI number1508112533
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 27, 2012
Last updated in NPPESJune 18, 2013

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