Shaer Dental Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SHAER DENTAL CORPORATION

Doing business as

Smile Boutique - Northridge

Practice address

8619 Reseda Blvd Ste 101
Northridge, CA 91324-4042

Phone

(818) 678-9975

Fax

(818) 812-9383

NPI assigned

Aug 24, 2021

Organization subpart

No

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

Authorized official

Name

Olga Verdy

Title

Office Manager

Phone

(818) 678-9975

Specialties & licenses 2

Addresses

Other names 1

• Smile Boutique - Northridge Doing business as

Locations

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1740957257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 RESEDA BLVD STE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244042",
            "telephone_number": "818-678-9975",
            "fax_number": "818-812-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 RESEDA BLVD STE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244042",
            "telephone_number": "818-678-9975",
            "fax_number": "818-812-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "VERDY",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-678-9975"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Boutique - Northridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Jean Seymour, PH.D., SLP
• Aral M Sezginis, MD
• SFV LLC
• SH Northridge Ca Opco LLC
• Michael Shabtai, M.D.
• Dan Shaer, M.P.H., D.D.S.
• Shazia Shah-Allibhoy, LMFT, NCSP, CAMS
• Dhwani Shah, PHARM.D
• Hira Shah, DO
• Shahim Ebrahimian, M.D., Inc

• Oral and Maxillofacial Surgery (Dentist) in Northridge, CA
• Providers in Northridge, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.