Active NPI
Michelle Duong, DDS a Professional Dental Corporation
- Dental Clinic/Center
- North Hollywood, CA
National Provider Identifier
1467910174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MICHELLE DUONG, DDS A PROFESSIONAL DENTAL CORPORATION
- Practice address
- 11404 Victory Blvd
North Hollywood, CA 91606-3616 - Phone
- (714) 319-0198
- NPI assigned
- Mar 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Duong, DDS
- Title
- Owner/President
- Phone
- (714) 319-0198
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
11404 Victory Blvd
North Hollywood, CA 91606-3616
Mailing address
3541 Royal Woods Dr
Sherman Oaks, CA 91403-4213
Phone (714) 319-0198
National Provider Directory
National Provider DirectoryLocations
11404 Victory Blvd
North Hollywood, CA 91606
Phone (714) 319-0198
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- North Hollywood, CA
- NPI 1912163692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552348800000",
"number": "1467910174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3541 ROYAL WOODS DR",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914034213",
"telephone_number": "714-319-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11404 VICTORY BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063616",
"telephone_number": "714-319-0198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE DUONG, DDS A PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-12",
"last_updated": "2019-03-12",
"status": "A",
"authorized_official_last_name": "DUONG",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "714-319-0198",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.