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CULVER WESTSIDE DENTAL GROUP
NPI 1811180995
Dentist - General Practice in Los Angeles, CA

Active since August 22, 2007
12504 W WASHINGTON BLVD, LOS ANGELES, CA 90066(310) 390-6272(310) 390-6674 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Culver Westside Dental Group NPPES

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

CULVER WESTSIDE DENTAL GROUP (NPI 1811180995) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since August 2007. The organization lists Lois Evans, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811180995
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHN PEDERSEN D D S INC
Location Address12504 W WASHINGTON BLVDLos Angeles, CA 90066-5506
Mailing Address12504 W Washington BlvdLos Angeles, CA 90066-5506 · (310) 390-6272 · Fax (310) 390-6674
Phone(310) 390-6272
Fax(310) 390-6674
Organization SubpartNo
Authorized OfficialLois EvansAdministrator · (310) 390-6272
Enumeration DateAugust 22, 2007
✔ NPI 1811180995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
12504 W WASHINGTON BLVD, Los Angeles, CA 90066
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Other Names 1

Doing Business AsCulver Westside 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 2

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

JOHN PEDERSEN DDS
Dentist
12504 W WASHINGTON BLVD, LOS ANGELES
LOS ANGELES, CA 90066
Los Angeles County (310) 390-6272
DR. RASOOL PATEL II DDS
Dentist
12504 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 390-6272

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 John Pedersen D D S Inc's NPI number?

The NPI number for John Pedersen D D S Inc is 1811180995. It was assigned to this organization in the NPPES registry on August 22, 2007. The provider is doing business as Culver Westside Dental Group.

Where is John Pedersen D D S Inc located?

John Pedersen D D S Inc is located at 12504 W Washington Blvd, Los Angeles, CA 90066. The listed phone number is (310) 390-6272.

What is John Pedersen D D S Inc'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 John Pedersen D D S Inc was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.