Segal Dental Group , Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SEGAL DENTAL GROUP , INC

Doing business as

Century Smile Maker Segal Dental Group, Inc

Practice address

2080 Century Park E Ste 1103
Los Angeles, CA 90067-2014

Phone

(310) 553-2233

NPI assigned

Apr 21, 2023

Organization subpart

No

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

Authorized official

Name

Semyon Segal, DDSNPI 1043868698

Title

President

Phone

(323) 688-9314

Specialties & licenses 1

Addresses

Other names 1

• Century Smile Maker Segal Dental Group, Inc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Semyon Segal, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1043868698
  NPD Authorized official

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1558058222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672014",
            "telephone_number": "310-553-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672014",
            "telephone_number": "310-553-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGAL DENTAL GROUP , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "SEMYON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-688-9314",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Smile Maker Segal Dental Group, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seetal Cheema, MD, PC
• Seetal Cheema, MD, PC
• Amanda Holliday Seethaler, DPT
• Rungaroon Seewai
• Meaza Sefineh, MSN, RN, FNP-C
• Freddi Ilene Segal Gidan, PA-C, PHD
• Alik Segal, LMFT
• Robert D. Segal, PSY.D.
• Sam Segal, DMD
• Semyon Segal, DDS

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.