S. STEVEN PODSTRELENY DDS PC NPI 1023322468

NPI Information

  • NPI: 1023322468
  • Provider Name: S. STEVEN PODSTRELENY, DDS, PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: PARK BLVD ORAL SURGERY
  • Address: 4067 PARK BLVD
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 795-0154

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NPI Details

S. STEVEN PODSTRELENY, DDS, PC is an oral and maxillofacial surgery dentist in San Diego, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. S. STEVEN PODSTRELENY, DDS, PC NPI is 1023322468. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Park Blvd Oral Surgery.

The provider's business location address is:

4067 PARK BLVD
SAN DIEGO, CA
ZIP 92103-619
Phone: (619) 795-0154
Fax: (619) 795-0512

The provider's authorized official is Stjepan Steven Podstreleny .
The authorized official title is Owner and has the following contact phone number (619) 795-0154.

The enumeration date for this NPI number is 7/27/2010 and was last updated on 7/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery50861CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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