Seville Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26342 Issued in CA

Legal business name

SEVILLE DENTAL CENTER

Practice address

7705 Seville Ave
Suite a
Huntington Park, CA 90255-6315

Phone

(323) 582-6938

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George Bradley, DDS

Title

Dentist

Phone

(323) 582-6938

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447469465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 SEVILLE AVE",
            "address_2": "SUITE A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902556315",
            "telephone_number": "323-582-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7705 SEVILLE AVE",
            "address_2": "SUITE A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902556315",
            "telephone_number": "323-582-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVILLE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-582-6938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL NUMBER",
            "identifier": "G9021602",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seaboard Healthcare, Inc.
• Laurie Ann Senit-Lampel
• Sepehr Katiraie MD Inc.
• Feliciano Antonio Serrano II, M.D.
• Eduardo Willington Servan Diaz, D.D.S.
• Seville Dental Group, Inc.
• Shahira S Abdel-Malek,MD,Inc.
• David Ullysses Shaw, MFT
• Latisha Shaw
• Matthew Shechmeister

• General Practice Dentistry in Huntington Park, CA
• Providers in Huntington Park, 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.