OCEANBREEZE DENTAL
NPI 1700367596
Dentist - Oral and Maxillofacial Surgery in Marina Del Rey, CA

Q: What is Vadim Konviser Dds A Professional Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since August 28, 2018

4644 LINCOLN BLVD STE 404, MARINA DEL REY, CA 90292(310) 578-2500 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Oceanbreeze Dental NPPES

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

OCEANBREEZE DENTAL (NPI 1700367596) is a healthcare organization registered as an oral and maxillofacial surgery in Marina Del Rey, California and active in the NPI registry since August 2018. The organization lists Vadim Konviser, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700367596

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameVADIM KONVISER DDS A PROFESSIONAL CORP

Location Address4644 LINCOLN BLVD STE 404Marina Del Rey, CA 90292-6380

Mailing Address4644 Lincoln Blvd Ste 404Marina Del Rey, CA 90292-6380 · (310) 578-2500

Phone(310) 578-2500

Organization SubpartNo

Authorized OfficialVadim KonviserCeo · (310) 578-2500

Enumeration DateAugust 28, 2018

✔ NPI 1700367596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed · 51095

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 51095 (CA)

4644 LINCOLN BLVD STE 404, Marina Del Rey, CA 90292

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Other Names 1

Doing Business AsOceanbreeze Dental

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 2

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

KONVISER DENTAL PROFESSIONAL CORPORATION

Dentist (Oral and Maxillofacial Surgery)

4644 LINCOLN BLVD STE 404
MARINA DEL REY, CA 90292

Los Angeles County (310) 578-2500

KONVISER DENTAL PROFESSIONAL CORPORATION

Dentist (Oral and Maxillofacial Surgery)

4644 LINCOLN BLVD STE 404
MARINA DEL REY, CA 90292

Los Angeles County (310) 578-2500

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 Vadim Konviser Dds A Professional Corp's NPI number?

The NPI number for Vadim Konviser Dds A Professional Corp is 1700367596. It was assigned to this organization in the NPPES registry on August 28, 2018. The provider is doing business as Oceanbreeze Dental.

Where is Vadim Konviser Dds A Professional Corp located?

Vadim Konviser Dds A Professional Corp is located at 4644 Lincoln Blvd Ste 404, Marina Del Rey, CA 90292. The listed phone number is (310) 578-2500.

What is Vadim Konviser Dds A Professional Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Vadim Konviser Dds A Professional Corp was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.