1. Home
  2. Directory
  3. California
  4. Venice
  5. Clinic Center
  6. NPI Profile

UCLA VENICE DENTAL CENTER
NPI 1255465902
Clinic/Center - Dental in Venice, CA

Active since March 15, 2007
323 LINCOLN BLVD, VENICE, CA 90291(310) 392-4103 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ucla Venice Dental Center NPPES

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

UCLA VENICE DENTAL CENTER (NPI 1255465902) is a healthcare organization registered as a dental in Venice, California and active in the NPI registry since March 2007. The organization lists Marc Hayaseti, Associate Clinical Professor, as its authorized official.

NPPES Registry Identity

NPI1255465902
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameUCLA VENICE DENTAL CENTER
Location Address323 LINCOLN BLVDVenice, CA 90291-2842
Mailing Address10833 Le Conte Ave, Chs 33-019Los Angeles, CA 90095-1668 · (310) 825-4855
Phone(310) 392-4103
Organization SubpartNo
Authorized OfficialMarc HayasetiAssociate Clinical Professor · (310) 825-4855
Enumeration DateMarch 15, 2007
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1255465902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
323 LINCOLN BLVD, Venice, CA 90291
Open in Google Maps ↗

Other Names 1

Other NameUcla School Of Dentistry

Other Identifiers 1

OtherG01004-01CA · Denti-cal

Other Providers at the Same Location NPPES 13

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

RUBANA MASOOD DDS
Dentist (General Practice)
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
GOLARA KHANDAN DMD
Student in an Organized Health Care Education/Training Program
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 827-8959
DR. MARIO BRADFORD ANTONIONI D.D.S.
Student in an Organized Health Care Education/Training Program
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. ALIZA AMSELLEM DDS
Dentist
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. BERNICE TAN KO
Dentist (Endodontics)
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. JOHN MICHAEL YAMAMOTO D.D.S., M.P.H.
Dentist (Dental Public Health)
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
CARLETTA ANNYSE DEMETREE DDS
Dentist
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. MACARIO DIZON SOLIMAN II DDS
Dentist
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 396-5654

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 Ucla Venice Dental Center's NPI number?

The NPI number for Ucla Venice Dental Center is 1255465902. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is also known as UCLA School of Dentistry.

Where is Ucla Venice Dental Center located?

Ucla Venice Dental Center is located at 323 Lincoln Blvd, Venice, CA 90291. The listed phone number is (310) 392-4103.

What is Ucla Venice Dental Center'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 Ucla Venice Dental Center was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.