Marina Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40241 Issued in CA

Legal business name

MARINA DENTAL CENTER

Practice address

13155 Mindanao Way
Marina del Rey, CA 90292-6307

Phone

(310) 821-2611

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Ginzburg, D.D.S.

Title

Owner

Phone

(310) 821-2611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396954137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13155 MINDANAO WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926307",
            "telephone_number": "310-821-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 MINDANAO WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926307",
            "telephone_number": "310-821-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GINZBURG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-821-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marcoly
• Daniel R Marcus, M.D.
• Marina Acupuncture Center, Inc.
• Marina Cosmetic Implant Dentistry
• Marina Dental Center
• Marina Dental Center
• Marina Dermatology Associates (Comprehensive Skin Care)
• Marina Optometry a Professional Corporation
• Marina Ortho, Inc.
• Marina Outpatient Surgery Center

• General Practice Dentistry in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.