Sergey Lokot Dental Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

58921 Issued in CA

Legal business name

SERGEY LOKOT DENTAL CORPORATION

Doing business as

West Valley Oral Surgery Group

Practice address

5363 Balboa Blvd Ste 233
Encino, CA 91316-2824

Phone

(818) 788-4424

Fax

(818) 788-4426

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Natalie Kolkovich

Title

Office Manager

Phone

(818) 788-4424

Specialties & licenses 1

Addresses

Other names 1

• West Valley Oral Surgery Group Doing business as

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1447623525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD STE 233",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162824",
            "telephone_number": "818-788-4424",
            "fax_number": "818-788-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD STE 233",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162824",
            "telephone_number": "818-788-4424",
            "fax_number": "818-788-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGEY LOKOT DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "KOLKOVICH",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-788-4424",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "58921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Valley Oral Surgery Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Encino, CA
• Providers in Encino, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.