Edward Sall Dental Corporation
Customized Equipment
5471 Kearny Villa Rd Ste 201, San Diego
California, 92123-1143
858-987-7888 619-299-6222
Edward Sall Dental Corporation is an authorized DME supplier for medicare equipment and products.Edward Sall Dental Corporation is a Customized Equipment in San Diego, California. It is located at 5471 Kearny Villa Rd Ste 201, San Diego and it's customer support contact number is 858-987-7888. The authorized person of Edward Sall Dental Corporation is Edward Tracy Sall who is President of this DME and his contact number is 858-987-7888. Edward Sall Dental Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Edward Sall Dental Corporation is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Edward Sall Dental Corporation type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Edward Sall Dental Corporation |
| Type: | Customized Equipment |
| Location: | 5471 Kearny Villa Rd Ste 201, San Diego, California, 92123-1143 |
| Phone: | 858-987-7888 |
| Fax: | 619-299-6222 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Edward Tracy Sall |
| Position: | President |
| Contact Number: | 858-987-7888 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1053859710 |
| NPI Enumeration Date: | 02 Feb, 2017 |
| NPI Last Update On: | 24 Aug, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edward Sall Dental Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| C3761211 | Other | California | California Secretary Of State |
| 104553 | Other | California | Dental Board Of California |
Medicare Enrollment:
Edward Sall Dental Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9537464771 | O20170602000583 | Edward Sall Dental Corporation | DME SUPPLIER - ORAL SURGERY - DENTIST |
| 9537464771 | O20180106000054 | Edward Sall Dental Corporation | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5471 Kearny Villa Rd Ste 201, San Diego, California |
| Zip: | 92123-1143 |
| Phone Number: | 858-987-7888 |
| Fax Number: | 619-299-6222 |
Patients can reach Edward Sall Dental Corporation at
5471 Kearny Villa Rd Ste 201, San Diego, California or can
call on customer care at 858-987-7888.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.