Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AVENIDO DENTAL CORP
NPI 1023915428
Dentist - General Practice in Los Angeles, CA

Active since October 20, 2026
4985 EAGLE ROCK BLVD, LOS ANGELES, CA 90041(818) 578-4477(323) 736-2743 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Avenido Dental Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVENIDO DENTAL CORP (NPI 1023915428), doing business as Eagle Rock Community Dental Group, is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since October 2026. The organization lists Nannette Avenido, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1023915428
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAVENIDO DENTAL CORP
Location Address4985 EAGLE ROCK BLVDLos Angeles, CA 90041-1921
Mailing Address4985 Eagle Rock BlvdLos Angeles, CA 90041-1921 · (818) 578-4477 · Fax (323) 736-2743
Fax(323) 736-2743
Organization SubpartNo
Authorized OfficialNannette AvenidoPresident/ceo · (818) 578-4477
Enumeration DateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1023915428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4985 EAGLE ROCK BLVD, Los Angeles, CA 90041

Other Names 1

Doing Business AsEagle Rock Community Dental Group

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4985 EAGLE ROCK BLVD
LOS ANGELES, CA 90041
Dentist (General Practice)
4985 EAGLE ROCK BLVD
LOS ANGELES, CA 90041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avenido Dental Corp's NPI number?

The NPI number for Avenido Dental Corp is 1023915428. It was assigned to this organization in the NPPES registry on October 20, 2026. The provider is doing business as Eagle Rock Community Dental Group.

Where is Avenido Dental Corp located?

Avenido Dental Corp is located at 4985 Eagle Rock Blvd, Los Angeles, CA 90041. The listed phone number is (818) 578-4477.

What is Avenido Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Avenido Dental Corp was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.