Carlston Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CARLSTON DENTAL GROUP

Practice address

2472 Overland Ave
Los Angeles, CA 90064-3334

Phone

(310) 838-0844

Fax

(310) 838-9758

NPI assigned

Aug 31, 2023

Last updated

Aug 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaimaa Ewida

Title

Office Manager

Phone

(310) 838-0844

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dean L Carlston, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1841319217
  NPD

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1649056193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 OVERLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643334",
            "telephone_number": "310-838-0844",
            "fax_number": "310-838-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 OVERLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643334",
            "telephone_number": "310-838-0844",
            "fax_number": "310-838-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSTON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "EWIDA",
        "authorized_official_first_name": "SHAIMAA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-838-0844"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margrit Ellen Carlson, MD
• Matthew Todd Carlson, LPCC
• Monique Carlson
• Phoebe Carlson
• Victoria Grace Carlson, PSYD
• Dean L Carlston, DDS
• Fredrick A Carlston, NP
• Julaine Carlstrom, MFT
• Carol A Carlton
• Robert Maurice Carlton, M.D.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.