Dr. Hamlet Avanesian DDS a Professional Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. HAMLET AVANESIAN DDS A PROFESSIONAL DENTAL CORPORATION

Practice address

701 S Glenoaks Blvd
Burbank, CA 91502-1417

Phone

(818) 638-7200

Fax

(818) 657-7080

NPI assigned

Sep 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Hamlet Avanesian, DDS

Title

Dentist

Phone

(818) 659-7200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1669955282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011616",
            "telephone_number": "818-638-7200",
            "fax_number": "818-657-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021417",
            "telephone_number": "818-638-7200",
            "fax_number": "818-657-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HAMLET AVANESIAN DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "AVANESIAN",
        "authorized_official_first_name": "HAMLET",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-659-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Burbank, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.