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

Theodore Slagle, DMD

Individual provider Dentist · NPI 1730817404

Theodore Slagle, DMD is a Dentist in San Diego, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
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

5638 Mission Center Rd Ste 107
San Diego, CA 92108-4348
Phone: (215) 380-8689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DDS110296 (CA)

Record details

NPI number1730817404
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 10, 2022
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

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