The Center for Implant & Cosmetic Dentistry

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

57628 Issued in CA

Legal business name

THE CENTER FOR IMPLANT & COSMETIC DENTISTRY

Practice address

115 Jensen CT
Suite 100
Thousand Oaks, CA 91360-7406

Phone

(805) 497-2222

Fax

(805) 497-2280

NPI assigned

Jan 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Sherif, DMD, DMEDSC

Title

Doctor / Director

Phone

(805) 497-2222

Specialties & licenses 1

Addresses

Other names 1

• Dr Sam Sherif Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1124398250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JENSEN CT",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607406",
            "telephone_number": "805-497-2222",
            "fax_number": "805-497-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 JENSEN CT",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607406",
            "telephone_number": "805-497-2222",
            "fax_number": "805-497-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR IMPLANT & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "SHERIF",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DOCTOR / DIRECTOR",
        "authorized_official_telephone_number": "805-497-2222",
        "authorized_official_credential": "DMD, DMEDSC"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "57628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Sam Sherif",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthodontics in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.