DYLAN BOOTH (NPI# 1033629837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033629837 |
| Entity Type | Individual |
| Full Name | DYLAN BOOTH |
| Credential | DDS |
| Practice Address |
601 Vernon Ave Venice CA 90291 |
| Mailing Address |
4045 Via Marina # L310 Marina Del Rey CA 90292-6247 |
| Practice Telephone | 9257861221 |
| Mailing Telephone | 9257861221 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2018-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 101586 | CA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 462 1st Ave, New York, NY 100169196 | 2125624891 |
| Street Address |
601 VERNON AVE |
| City | VENICE |
| State | CA |
| Zip Code | 90291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| 1376738252 | Irma Hawkins | Psychologist | 419 Carroll Canal, Venice, CA 90291 | 2007-09-13 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1962998971 | Mohamed Aly Ibrahim Youssef | Dentist | 1301 Us Highway 41 Byp S, Venice, FL 34285-5545 | 2018-07-03 |
| 1144729872 | Richard J Miron | Dentist | 858 Dahoon Cir, Venice, FL 34293-7251 | 2018-02-08 |
| 1427594076 | R Scott Thompson, Dds, Pa | Dentist | 1314 E Venice Ave Ste F, Venice, FL 34285-7160 | 2017-01-06 |
| 1619313194 | Armen Grigoryan | Dentist | 4240 Tamiami Trl S, Venice, FL 34293-5105 | 2013-05-10 |
| 1255677910 | Richard Thomas Fleck | Dentist | 6137 Erice St, Venice, FL 34293-4516 | 2012-12-27 |
| 1942552385 | Gloria M Garcia-gonzalez | Dentist | 252 Hampton Dr, Unit E, Venice, CA 90291-8641 | 2012-10-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1639496003 | Lisa Klein | Dentist | 1740 E Venice Ave Unit 6, Venice, FL 34292-3193 | 2010-04-26 |
| 1770806267 | Marlene Cosette Talley | Dentist | 2119 Louella Ave, Venice, CA 90291-4016 | 2010-03-11 |
| Find all providers in VENICE | ||||
Please comment or provide details below to improve the information on DYLAN BOOTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.