Dr Edwin Pouldar DDS Inc

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

DR EDWIN POULDAR DDS INC

Practice address

14912 Burbank Blvd
Sherman Oaks, CA 91411-3609

Phone

(818) 909-0222

NPI assigned

Jul 14, 2023

Organization subpart

No

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

Authorized official

Name

Edwin Jakob Pouldar

Title

President

Phone

(310) 780-1187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1285313437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14912 BURBANK BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113609",
            "telephone_number": "818-909-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14912 BURBANK BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113609",
            "telephone_number": "818-909-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EDWIN POULDAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "POULDAR",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "JAKOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-780-1187"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health Dentistry in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.