DENTIST NEAR ME CULVER CITY
NPI 1124711007
Clinic/Center - Dental in Culver City, CA

Active since May 29, 2023
4310 OVERLAND AVE, CULVER CITY, CA 90230(310) 837-8087 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dentist Near Me Culver City NPPES

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

DENTIST NEAR ME CULVER CITY (NPI 1124711007) is a healthcare organization registered as a dental in Culver City, California and active in the NPI registry since May 2023. The organization lists Nicole Guirguis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124711007
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDENTIST NEAR ME CULVER CITY
Location Address4310 OVERLAND AVECulver City, CA 90230-4117
Mailing Address4310 Overland AveCulver City, CA 90230-4117 · (310) 837-8087
Organization SubpartNo
Authorized OfficialNicole GuirguisCeo · (310) 837-8087
Enumeration DateMay 29, 2023
NPPES CertifiedMay 28, 2023
NPI 1124711007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4310 OVERLAND AVE, Culver City, CA 90230

Other Identifiers 1

Medicaid1083135933CA

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)
4310 OVERLAND AVE
CLUVER CITY, CA 90230
Dentist (General Practice)
4310 OVERLAND AVE
CULVER CITY, CA 90230

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 Dentist Near Me Culver City's NPI number?

The NPI number for Dentist Near Me Culver City is 1124711007. It was assigned to this organization in the NPPES registry on May 29, 2023.

Where is Dentist Near Me Culver City located?

Dentist Near Me Culver City is located at 4310 Overland Ave, Culver City, CA 90230. The listed phone number is (310) 837-8087.

What is Dentist Near Me Culver City's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Dentist Near Me Culver City was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.