William Ginzburg Dental Center Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WILLIAM GINZBURG DENTAL CENTER INC

Doing business as

Marina Cosmetic & Implant Center

Practice address

13286 Fiji Way
Marina del Rey, CA 90292-7119

Phone

(310) 821-2611

NPI assigned

Sep 12, 2018

Organization subpart

No

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

Authorized official

Name

William Ginzburg, DDS

Title

President

Phone

(310) 268-0646

Specialties & licenses 5

Addresses

Other names 1

• Marina Cosmetic & Implant Center Doing business as

Locations

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1457834889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13286 FIJI WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927119",
            "telephone_number": "310-821-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13286 FIJI WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927119",
            "telephone_number": "310-821-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM GINZBURG DENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "GINZBURG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-268-0646",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marina Cosmetic & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin V Wigger, LMFT
• Gary Dewayne Wiley Jr., PA-C
• Samantha Wilhelm, MS, PA-C
• Renee Marie Wilkinson, PH.D.
• William G Lang MD a Professional Corporation
• Alesa Ione Williams, COTA
• Rekia Willingham
• Gabriel Isaac Wilson I, ATC
• Josephine Alice Louise Wolf, LAC
• Kyunghwa Hong Won, PHARM.D.

• Oral and Maxillofacial Surgery (Dentist) in Marina del Rey, CA
• Providers in Marina del Rey, 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 Sep 12, 2018; 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.