Alex G. Gladkov Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

40822 Issued in CA

Legal business name

ALEX G. GLADKOV DENTAL CORPORATION

Practice address

1920 E 17TH St
Suite 120
Santa Ana, CA 92705-8626

Phone

(714) 972-9222

Fax

(714) 558-8618

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Alex G. Gladkov, D.D.S

Title

Owner

Phone

(714) 972-9222

Specialties & licenses 1

Addresses

Other names 1

• Orthodontic Center of Orange County Doing business as

Locations

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1194196436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E 17TH ST",
            "address_2": "SUITE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058626",
            "telephone_number": "714-972-9222",
            "fax_number": "714-558-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E 17TH ST",
            "address_2": "SUITE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058626",
            "telephone_number": "714-972-9222",
            "fax_number": "714-558-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX G. GLADKOV DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "GLADKOV",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-972-9222",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "40822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Center of Orange County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharina Dyan Alejo
• Hripsime Aleksanian
• Ramon Manuel Aleman Navas, DDS
• Nancy Aleman
• Alex Eidelstein DDS & Guy Levi DDS, a Dental Corporation
• Alex Gladkov a Professional Dental Corporation
• Lindsay Alex
• Athena Theresa Alexander, M.D.
• Darrlyn Lamar Alexander, CAADE
• Michelle Chaker Alexander, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.