Organization Active NPI

Michelle Duong, DDS a Professional Dental Corporation

  • Dental Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1467910174
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Michelle Duong, DDSNPI 1912163692
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.