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DR. PORFIRIO S. MARAVILLA JR. DMD INC
NPI 1760535322
Dentist - General Practice in Los Angeles, CA

Active since January 18, 2007
3540 WILSHIRE BLVD STE 208, LOS ANGELES, CA 90010(213) 388-2466(213) 388-9775 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Porfirio S. Maravilla Jr. Dmd Inc NPPES

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

DR. PORFIRIO S. MARAVILLA JR. DMD INC (NPI 1760535322) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since January 2007. The organization lists Porfirio Santos Maravilla, Pres., as its authorized official.

NPPES Registry Identity

NPI1760535322
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. PORFIRIO S. MARAVILLA JR. DMD INC
Location Address3540 WILSHIRE BLVD STE 208Los Angeles, CA 90010-2346
Mailing Address3540 Wilshire Blvd Ste 208Los Angeles, CA 90010-2346 · (213) 388-2466 · Fax (213) 388-9775
Phone(213) 388-2466
Fax(213) 388-9775
Organization SubpartNo
Authorized OfficialPorfirio Santos MaravillaPres. · (213) 388-2466
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760535322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 32356
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.
3540 WILSHIRE BLVD STE 208, Los Angeles, CA 90010
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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

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

DR. PORFIRIO S MARAVILLA JR. DENTIST
Dentist (General Practice)
3540 WILSHIRE BLVD STE 208
LOS ANGELES, CA 90010
Los Angeles County (213) 388-2466

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 Dr. Porfirio S. Maravilla Jr. Dmd Inc's NPI number?

The NPI number for Dr. Porfirio S. Maravilla Jr. Dmd Inc is 1760535322. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Dr. Porfirio S. Maravilla Jr. Dmd Inc located?

Dr. Porfirio S. Maravilla Jr. Dmd Inc is located at 3540 Wilshire Blvd Ste 208, Los Angeles, CA 90010. The listed phone number is (213) 388-2466.

What is Dr. Porfirio S. Maravilla Jr. Dmd Inc's specialty?

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

What insurance does Dr. Porfirio S. Maravilla Jr. Dmd Inc accept?

Health plans from UnitedHealthcare list Dr. Porfirio S. Maravilla Jr. Dmd Inc 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 Dr. Porfirio S. Maravilla Jr. Dmd Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.