Healthcare Provider Details

I. General information

NPI: 1225524580
Provider Name (Legal Business Name): ANDREW KALMAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ANDREW KALMAN DDS

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10405 TIERRASANTA BLVD
SAN DIEGO CA
92124-2603
US

IV. Provider business mailing address

1331 COLUMBIA ST APT 3012
SAN DIEGO CA
92101-3852
US

V. Phone/Fax

Practice location:
  • Phone: 858-492-9300
  • Fax:
Mailing address:
  • Phone: 215-378-3517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number41447
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401416140
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number112614
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: