Edit Avodian DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EDIT AVODIAN DDS INC

Doing business as

Angeles Crest Dentistry

Practice address

3200 La Crescenta Ave Ste 201
Glendale, CA 91208-1677

Phone

(818) 541-0876

NPI assigned

Apr 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Edit Avodian, DDSNPI 1508112285

Title

Ceo

Phone

(818) 269-6610

Specialties & licenses 1

Addresses

Other names 1

• Angeles Crest Dentistry Doing business as

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.

• Edit Avodian, DDS

  • Dentist
  • Sunnyside, NY
  • NPI 1508112285
  Authorized official Same address or phone

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650672000000",
    "number": "1891439188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LA CRESCENTA AVE STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081677",
            "telephone_number": "818-541-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LA CRESCENTA AVE STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081677",
            "telephone_number": "818-541-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIT AVODIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A",
        "authorized_official_last_name": "AVODIAN",
        "authorized_official_first_name": "EDIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-269-6610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angeles Crest Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Glendale, CA
• Providers in Glendale, 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 Apr 23, 2022; 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.