Dentalville

Primary specialty

DentistTaxonomy code 122300000X

License

B26405-03 Issued in CA

Legal business name

DENTALVILLE

Practice address

7864 Van Nuys Blvd
Panorama City, CA 91402-6069

Phone

(818) 989-2400

Fax

(818) 989-2457

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leonid Glosman Sr., DDS

Title

Owner

Phone

(323) 266-1000

Specialties & licenses 1

Addresses

Tax ID family

Dentalville4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Dentalville

  • Dentist
  • Montebello, CA
  • NPI 1558588566
  NPD tax ID
• Dentalville

  • Dental Clinic/Center
  • Bell, CA
  • NPI 1700083078
  NPD tax ID
• Dinasty Dental

  • Dentist
  • Van Nuys, CA
  • NPI 1275733925
  NPD tax ID

Locations

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639375488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7864 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026069",
            "telephone_number": "818-989-2400",
            "fax_number": "818-989-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7864 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026069",
            "telephone_number": "818-989-2400",
            "fax_number": "818-989-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLOSMAN",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-266-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "B26405-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Antonio Deleon, DDS
• Rayan Demikhovskiy, FNP-BC
• Dental Center of San Miguel
• Dental Office of Harouni and Elgrichi
• Dental Wonderland
• Dentist on Call Office of Dr. Christline S. Robles Dental Corp.
• Romina Devecioglu
• Development Specialty Projects, Inc.
• Dharma Medical
• Samir S. Diab, MD

• Dentist in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.