Dina Adami, DDS
Individual provider Active NPI Endodontics · Santa Monica, CA
NPI 1962942367 · NPPES record last updated Aug 24, 2021
Key facts
- NPI
- 1962942367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- 101164 (CA)
- Practice address
- 1299 Ocean Ave Ste 333
Santa Monica, CA 90401-1057 - Phone
- (818) 963-2558
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101164 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolyn Ghazal and Minh Pham Dental Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 101164 | CA | Yes |
| Dentist | 122300000X | 101164 | CA |
Addresses
Primary practice location
1299 Ocean Ave Ste 333
Santa Monica, CA 90401-1057
Mailing address
1299 Ocean Ave Ste 333
Santa Monica, CA 90401-1057
Phone (818) 963-2558
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All providers in Santa Monica, CA · Endodontics in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.