MEDICARE: CONWAY DDS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1659095412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONWAY DDS INC.

Provider Business Mailing Address
First Line	:	PO BOX 501265
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92150-1265
Country	:	US
Telephone Number	:	619-807-8710
Fax Number	:	619-474-4948

Provider Business Practice Location Address
First Line	:	9750 MIRAMAR RD STE 100
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-4561
Country	:	US
Telephone Number	:	858-271-7440
Fax Number	:	858-271-0180

Authorized Official
Title or Position	:	CEO
Name	:	DR. RAIVYN CONWAY
Credential	:	DDS
Telephone Number	:	619-477-1184

Provider Enumeration Date	:	09/26/2022
Last Update Date	:	09/26/2022

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1578601175 — MRS. SUSAN J. JAVIDAN P.T.
Practice Location Address:

9750 MIRAMAR RD STE 160
SAN DIEGO, CA
92126-4561

Practice Phone: 858-693-3196
Practice Fax: 858-693-3879

1841538303 — FRITZI A PEREZ-MYERS, DMD, INC.
Practice Location Address:

9750 MIRAMAR RD STE 160
SAN DIEGO, CA
92126-4561

Practice Phone: 858-586-9195
Practice Fax: 858-586-9198

1235548330 — SCRIPPS HEALTH SERVICES, LLC
Practice Location Address:

9750 MIRAMAR RD STE 130
SAN DIEGO, CA
92126-4561

Practice Phone: 858-527-0232
Practice Fax:

1285379263 — KATHRYN BEDOR
Practice Location Address:

9750 MIRAMAR RD STE 130
SAN DIEGO, CA
92126-4561

Practice Phone: 206-829-0218
Practice Fax:

1649025495 — JENNIE BRADACH
Practice Location Address:

9750 MIRAMAR RD STE 130
SAN DIEGO, CA
92126-4561

Practice Phone: 858-305-0878
Practice Fax:

Directions to “CONWAY DDS INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.