DOUGLAS DENTAL CORPORATION
NPI 1598481228
Dentist - General Practice in North Hollywood, CA

Active since October 14, 2022
10930 MAGNOLIA BLVD, NORTH HOLLYWOOD, CA 91601(818) 616-7817(818) 638-9608 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Douglas Dental Corporation NPPES

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

DOUGLAS DENTAL CORPORATION (NPI 1598481228), doing business as Noho Modern Dentistry Dental Group, is a healthcare organization registered as a general practice in North Hollywood, California and active in the NPI registry since October 2022. The organization lists Jordan Chelsey Douglas, Owner, as its authorized official.

NPPES Registry Identity

NPI1598481228
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDOUGLAS DENTAL CORPORATION
Location Address10930 MAGNOLIA BLVDNorth Hollywood, CA 91601-3903
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Fax(818) 638-9608
Organization SubpartNo
Authorized OfficialJordan Chelsey DouglasOwner · (818) 616-7817
Enumeration DateOctober 14, 2022
NPPES CertifiedOctober 8, 2022
✔ NPI 1598481228 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.
10930 MAGNOLIA BLVD, North Hollywood, CA 91601

Other Names 1

Doing Business AsNoho 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

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
10930 MAGNOLIA BLVD
NORTH HOLLYWOOD, CA 91601
Dentist (General Practice)
10930 MAGNOLIA BLVD
NORTH HOLLYWOOD, CA 91601
Dentist (General Practice)
10930 MAGNOLIA BLVD
NORTH HOLLYWOOD, CA 91601

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 Douglas Dental Corporation's NPI number?

The NPI number for Douglas Dental Corporation is 1598481228. It was assigned to this organization in the NPPES registry on October 14, 2022. The provider is doing business as Noho Modern Dentistry Dental Group.

Where is Douglas Dental Corporation located?

Douglas Dental Corporation is located at 10930 Magnolia Blvd, North Hollywood, CA 91601. The listed phone number is (818) 616-7817.

What is Douglas Dental Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Douglas Dental Corporation was last updated on October 14, 2022. 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.