Jack Shabanian, D.D.S. Inc. in Hawthorne - Dentist
Jack Shabanian, D.D.S. Inc. - NPI 1538249222
Jack Shabanian, D.D.S. Inc. is a Dentist in Hawthorne, California. Jack Shabanian, D.D.S. Inc. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack Shabanian, D.D.S. Inc. is 1538249222. The last update date is 2020-08-22.
Jack Shabanian, D.D.S. Inc.'s current location address is 11701 Hawthorne Blvd, Hawthorne, California. You can contact this provider via phone number 3106760145 and fax number 3106763161. The mailing address for Jack Shabanian, D.D.S. Inc. is 11701 Hawthorne Blvd, Hawthorne, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack Shabanian, D.D.S. Inc. |
|---|---|
| Address | 11701 Hawthorne Blvd, Hawthorne, California |
| Phone Number | 3106760145 |
| Fax Number | 3106763161 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shabanian Jack |
| Credentials | D.D.S. |
| Telephone Number | 3106760145 |
NPI Number Detail
| NPI Number | 1538249222 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11701 Hawthorne Blvd |
|---|---|
| City | Hawthorne |
| State | California (CA) |
| Post Code | 902502317 |
| Phone Number | 3106760145 |
| Fax Number | 3106763161 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 38917 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G9112501 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Shabanian, D.D.S. Inc.?
The Jack Shabanian, D.D.S. Inc. has been issued the NPI (National Provider Identifier) 1538249222 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jack Shabanian, D.D.S. Inc. is physically located?
The Jack Shabanian, D.D.S. Inc. is physically situated at the following address: 11701 Hawthorne Blvd, Hawthorne, CA, 902502317.
What is the area of specialization for Jack Shabanian, D.D.S. Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack Shabanian, D.D.S. Inc. is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When did the Jack Shabanian, D.D.S. Inc. receive its 1538249222?
The Jack Shabanian, D.D.S. Inc. was issued its 1538249222 on 2006-10-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jack Shabanian, D.D.S. Inc. most recently updated or revised?
The information pertaining to Jack Shabanian, D.D.S. Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.