SERGEY MAHTESYAN D.D.S. - NPI 1073887790

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Sergey Mahtesyan D.d.s. NPPES

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

SERGEY MAHTESYAN D.D.S. (NPI 1073887790) is an individual general practice provider in Burbank, California, licensed in California (61203) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1073887790

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSERGEY MAHTESYANCredential: D.D.S.

Location Address372 E OLIVE AVEBurbank, CA 91502-1215

Mailing Address372 E Olive AveBurbank, CA 91502-1215 · (818) 450-5000 · Fax (818) 736-5003

Phone(818) 450-5000

Fax(818) 736-5003

Sole ProprietorNo

Enumeration DateFebruary 27, 2012

Last NPPES UpdateSeptember 12, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2020

✔ NPI 1073887790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 61203

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.

372 E OLIVE AVE, Burbank, CA 91502

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