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DR. ANDRE MARDEROSIAN DMD
NPI 1093224131
Dentist in Los Angeles, CA

Active since September 20, 2017
3129 N SAN FERNANDO RD, LOS ANGELES, CA 90065(818) 239-2217 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andre Marderosian Dmd NPPES

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

DR. ANDRE MARDEROSIAN DMD (NPI 1093224131) is an individual dentist in Los Angeles, California, licensed in California (DDS102003) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1093224131
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ANDRE MARDEROSIANCredential: DMD
Location Address3129 N SAN FERNANDO RDLos Angeles, CA 90065
Mailing Address418 E Glenoaks Blvd Ste 101Glendale, CA 91207-2093 · (818) 239-2217
Phone(818) 239-2217
Sole ProprietorYes
Enumeration DateSeptember 20, 2017
✔ NPI 1093224131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · DDS102003
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3129 N SAN FERNANDO RD, Los Angeles, CA 90065
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

YVETTE GULESSERIAN DDS
Dentist
3129 N SAN FERNANDO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 257-7744
CHANGWOO LEE DDS
Dentist (General Practice)
3129 N SAN FERNANDO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 257-7744
JONATHAN K LEE DDS
Dentist
3129 N SAN FERNANDO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 257-7744
DAE H SONG DDS INC
Dentist
3129 N SAN FERNANDO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 257-7744
JAVIER ELIECER JARA D.D.S
Dentist
3129 N SAN FERNANDO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 257-7744
CHANG WOO LEE, D.D.S., PROFESSIONAL CORPORATION
Dentist (General Practice)
3129 N SAN FERNANDO RD
LOS ANGELES, CA 90065
Los Angeles County (323) 257-7744

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 Andre Marderosian's NPI number?

The NPI number for Andre Marderosian is 1093224131. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Andre Marderosian located?

Andre Marderosian practices at 3129 N San Fernando Rd, Los Angeles, CA 90065. The listed phone number is (818) 239-2217.

What is Andre Marderosian's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Andre Marderosian accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Andre Marderosian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andre Marderosian was last updated on September 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.