MAGNOLIA GENTLE DENTISTRY
NPI 1104987445
Dentist in Valley Village, CA

Active since December 12, 2006
12143 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607(818) 506-0100(818) 506-0700 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Gentle Dentistry NPPES

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

MAGNOLIA GENTLE DENTISTRY (NPI 1104987445) is a healthcare organization registered as a dentist in Valley Village, California and active in the NPI registry since December 2006. The organization lists Benita Evazyan, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104987445
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEVAZYAN DENTAL CORP
Location Address12143 MAGNOLIA BLVDValley Village, CA 91607-2609
Mailing Address12143 Magnolia BlvdValley Village, CA 91607-2609 · (818) 506-0100 · Fax (818) 506-0700
Fax(818) 506-0700
Organization SubpartNo
Authorized OfficialBenita EvazyanDentist · (818) 506-0100
Enumeration DateDecember 12, 2006
Last NPPES UpdateSeptember 4, 2012
NPI 1104987445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in CA · 43949 Licensed in CA · 47472
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.
12143 MAGNOLIA BLVD, Valley Village, CA 91607

Other Names 1

Doing Business AsMagnolia Gentle Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist
12143 MAGNOLIA BLVD
VALLEY VILLAGE, CA 91607

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 Evazyan Dental Corp's NPI number?

The NPI number for Evazyan Dental Corp is 1104987445. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider is doing business as Magnolia Gentle Dentistry.

Where is Evazyan Dental Corp located?

Evazyan Dental Corp is located at 12143 Magnolia Blvd, Valley Village, CA 91607. The listed phone number is (818) 506-0100.

What is Evazyan Dental Corp's specialty?

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

When was this NPI record last updated?

The NPPES record for Evazyan Dental Corp was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.