Healthcare Provider Details

I. General information

NPI: 1710877956
Provider Name (Legal Business Name): JORDAN PETER SAVAS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL CAMP PENDLETON 200 MERCY CIRCLE
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

NAVY HOSPITAL CAMP PENDLETON 200 MERCY CIRCLE
CAMP PENDLETON CA
92055
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-1288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14220250-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: