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BRENTWOOD MODERN DENTISTRY DENTAL GROUP
NPI 1386285427
Dentist - General Practice in Los Angeles, CA

Active since September 30, 2019
12013 WILSHIRE BLVD, LOS ANGELES, CA 90025(310) 219-6039(310) 219-6038 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2022, Sep 30, 2019 (2 updates tracked since 2019).

About Brentwood Modern Dentistry Dental Group NPPES

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

BRENTWOOD MODERN DENTISTRY DENTAL GROUP (NPI 1386285427) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since September 2019. The organization lists Shaelan D Mcdonough, Owner, as its authorized official.

NPPES Registry Identity

NPI1386285427
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMCDONOUGH DENTAL CORPORATION
Location Address12013 WILSHIRE BLVDLos Angeles, CA 90025-1201
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8500 · Fax (303) 952-0892
Phone(310) 219-6039
Fax(310) 219-6038
Organization SubpartNo
Authorized OfficialShaelan D McdonoughOwner · (310) 219-6039
Enumeration DateSeptember 30, 2019
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1386285427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

12013 WILSHIRE BLVD, Los Angeles, CA 90025
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Other Names 1

Doing Business AsBrentwood Modern Dentistry Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

ELLIOT PENHASIAN DDS
Dentist (General Practice)
12013 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 219-6039
DR. HEATHER ROBISON DDS
Dentist
12013 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 219-6039

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 Mcdonough Dental Corporation's NPI number?

The NPI number for Mcdonough Dental Corporation is 1386285427. It was assigned to this organization in the NPPES registry on September 30, 2019. The provider is doing business as Brentwood Modern Dentistry Dental Group.

Where is Mcdonough Dental Corporation located?

Mcdonough Dental Corporation is located at 12013 Wilshire Blvd, Los Angeles, CA 90025. The listed phone number is (310) 219-6039.

What is Mcdonough Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mcdonough Dental Corporation accept?

Health plans from UnitedHealthcare list Mcdonough Dental Corporation 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 Mcdonough Dental Corporation was last updated on March 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.