Jac W. Pedersen, D.D.S.
Pediatric Dentistry · San Luis Obispo, CA
Jac W. Pedersen, D.D.S. is a pediatric dentistry with a practice address in San Luis Obispo, California, and NPI 1952553091, issued on Oct 21, 2008. Check the license (California 27472, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jac W. Pedersen
- Credential
- D.D.S.
- Primary taxonomy
- Pediatric Dentistry 1223P0221X
- License number
- 27472 CA
Self-reported in NPPES; status is on the state search - Practice location
- 3221 S Higuera St, San Luis Obispo, CA 93401
- Phone
- (805) 544-8111
- Enumerated
- Oct 21, 2008
- Record last updated
- Oct 21, 2008 (not updated in 18 years: call before relying on the address or phone)
- Fax
- (805) 544-6309
- Entity
- Type 1 · individual
8 nearest pediatric dentistry records → All 1,339 in California → Look up another NPI →
Also registered at 3221 S Higuera St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Rosalyn Cha, DDSDentist1467086033
- Vikram Tiku, DDSPediatric Dentistry1427304294
Verify Jac W. Pedersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 27472Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jac W. Pedersen among 1,339 pediatric dentistry records in California
Jac W. Pedersen, D.D.S. is one of 1,339 pediatric dentistry records with a practice address in California. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2008, is newer than 43% of them.
- NPI issued2008 · 43% of these records are older, 51% newer
- In a Medicare fileNo · 24% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2008 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223P0221X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Dentistry providers in California
There are 1,339 pediatric dentistry records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,339 in California → Every provider in San Luis Obispo → Pediatric Dentistry nationwide →
The 8 pediatric dentistry records with the nearest ZIP codes
- James Forester, DDSSan Luis Obispo, CA 934011013075159
- Larry Smith, DDS MPHSan Luis Obispo, CA 934011679670277
- Vikram Tiku, DDSSan Luis Obispo, CA 934011427304294
- Rachel Williams, DDSSan Luis Obispo, CA 934011013092618
- Kristin Newsom, DDS, MS, INC.Atascadero, CA 934221043400674
- Theron Stout, DDSAtascadero, CA 934221417173980
- Douglas Harrington, D.D.S.Paso Robles, CA 934461487783528
- Ju Lawrence, DMDPaso Robles, CA 934461356302608
Common questions
What is Jac W. Pedersen, D.D.S.'s NPI number?
Jac W. Pedersen, D.D.S.'s National Provider Identifier (NPI) is 1952553091, issued on Oct 21, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Jac W. Pedersen, D.D.S. located?
The NPPES record lists a practice address at 3221 S Higuera St, San Luis Obispo, CA, 93401. Phone: (805) 544-8111. Providers update this record themselves, so call before visiting.
How can I verify Jac W. Pedersen, D.D.S.'s license?
NPPES lists California license number 27472, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.