Dental Specialty Service

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

17984 Issued in CA

Legal business name

DENTAL SPECIALTY SERVICE

Practice address

6320 Canoga Ave Ste 1500
Woodland Hills, CA 91367-2563

Phone

(800) 768-4879

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Yan Wang

Title

Owner

Phone

(800) 768-4879

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750588018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4571",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916170571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 CANOGA AVE STE 1500",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672563",
            "telephone_number": "800-768-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALTY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-768-4879"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "17984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skender Demirovic
• Paige Denicola
• Javaris Dennis
• Quinten Denson
• Yaniece Dent
• Angela Dentzuky
• Giselle Marie Deocampo
• Rosita Depina
• Stacy Renee Dequina, R.D., C.D.E.
• Sarah Derham

• Endodontics in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Endodontics 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.