NATALIE MANSOUR DMD DENTAL CORP (NPI# 1154531432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154531432 |
| Entity Type | Organization |
| Organization Name | NATALIE MANSOUR DMD DENTAL CORP |
| Practice Address |
709 S Central Ave Suite A Glendale CA 91204-2010 |
| Mailing Address |
615 Clinton Pl Beverly Hills CA 90210-1917 |
| Practice Telephone | 8185007330 |
| Practice Fax Number | 8185007340 |
| Mailing Telephone | 3109027775 |
| Mailing Fax Number | 3108588333 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | DR. NATALIE CHANTAL MANSOUR (PRESIDENT) |
| Authorized Official Telephone | 3109027775 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
49374 | CA | Dental Providers |
| Street Address |
709 S CENTRAL AVE SUITE A |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497850002 | Natalie Chantal Mansour | Dentist | 709 S Central Ave, Glendale, CA 91204-2010 | 2006-09-14 |
| 1134227796 | Marie Claire Mansour | Dentist | 709 S Central Ave, Suite B, Glendale, CA 91204-2010 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629574389 | Anna Lala Shahinian | Dentist | 331 N Cedar St Apt 12, Glendale, CA 91206-3795 | 2018-04-02 |
| 1841704764 | Highbury Dental Management, LLC | Dentist | 5757 W Thunderbird Rd Ste E451, Glendale, AZ 85306-4645 | 2017-11-30 |
| 1306372503 | Wopd Pllc | Dentist | 5144 W Olive Ave, Glendale, AZ 85302-4209 | 2017-05-08 |
| 1386999779 | Yvonne Shuwa Lee | Dentist | 1808 Verdugo Hills, Suite 312, Glendale, CA 91208-1456 | 2012-07-21 |
| 1578859567 | Arina V Hartunian | Dentist | 418 E. Glenoaks Blvd., Kids Dental Place, Suite # 202, Glendale, CA 91207 | 2011-06-28 |
| 1043525736 | Tiffany Andersen | Dentist | 5757 W Thunderbird Rd Ste 451, Glendale, AZ 85306-4645 | 2010-08-18 |
| 1275858003 | Shakeh Garibyan | Dentist | 539 Salem St Apt 3, Glendale, CA 91203-2144 | 2010-04-05 |
| 1750462826 | Jane Marie Thomason | Dentist | 18700 N 64th Dr Ste 302, Glendale, AZ 85308-7114 | 2006-10-17 |
| 1497850002 | Natalie Chantal Mansour | Dentist | 709 S Central Ave, Glendale, CA 91204-2010 | 2006-09-14 |
| 1952301582 | Lisa Carlson-marks | Dentist | 4500 Cherry Creek South Dr, # 840, Glendale, CO 80246-1518 | 2005-07-26 |
| Find all providers in GLENDALE | ||||
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| 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.