BEZAD DENTAL GROUP PROFESSIONAL CORPORATION


Address: 5620 Wilbur Ave, Suite 310, Tarzana, CA 91356-1351
Phone: 3238863368

BEZAD DENTAL GROUP PROFESSIONAL CORPORATION (NPI# 1194266841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194266841
Entity Type Organization
Organization Name BEZAD DENTAL GROUP PROFESSIONAL CORPORATION
Other Organization Name ELITE DENTAL & IMPLANT CENTER
Practice Address 5620 Wilbur Ave
Suite 310
Tarzana
CA 91356-1351
Practice Telephone 3238863368
Mailing Telephone 3238863368
Enumeration Date 2017-03-14
Last Update Date 2017-03-14
Authorized Official Name DR. PATRICIA BEZAD (OWNER)
Authorized Official Telephone 3238863368
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 54696 CA Dental Providers

Other Provider/Organization Names

Other Name Type Code
Elite Dental & Implant Center Doing Business As Name - Organization

Office Location

Street Address 5620 WILBUR AVE
SUITE 310
City TARZANA
State CA
Zip Code 91356-1351

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NPI Name Taxonomy Address Enumeration
1902876709 Tye J Ouzounian IIi Orthopaedic Surgery 5620 Wilbur Ave, Suite 216, Tarzana, CA 91356-1351 2006-01-24
1396383386 Nina Horwich Respiratory Therapist, Registered 5620 Wilbur Ave, Tarzana, CA 91356-1351 2019-12-20
1376051284 Lilian Eshaghian Dentist 5620 Wilbur Ave, Tarzana, CA 91356-1351 2018-01-12
1366989709 Ldnr Pharmacy, Inc Pharmacy 5620 Wilbur Ave, Suite 100, Tarzana, CA 91356-1351 2017-01-24
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1770928459 Khaz Anesthesia, Inc Anesthesiology 5620 Wilbur Ave, Suite 305, Tarzana, CA 91356-1351 2013-05-07
1578826996 Michael Hirt Md PC Internal Medicine 5620 Wilbur Ave, Suite 220, Tarzana, CA 91356-1351 2012-06-20
1427324409 Kenneth L. Reed Dentist 5620 Wilbur Ave, #319, Tarzana, CA 91356-1351 2012-03-23
1538451760 Brand Tarzana Surgical Institute Inc Clinic/Center 5620 Wilbur Ave, #305, Tarzana, CA 91356-1351 2011-05-05
1750686598 Pamela Alicia Bassett Physician Assistant 5620 Wilbur Ave, Tarzana, CA 91356-1351 2011-01-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679137293 Sarah Badreau Behavior Technician 5554 Reseda Blv., Tarzana, CA 91356 2019-04-29
1831661966 Daraie Dental Group Inc Dentist 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 2018-12-31
1982182770 Blanca Garay Respiratory Therapist, Registered 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 2018-08-02
1437659000 Chloe Kang Speech-Language Pathologist 19019 Ventura Blvd., Tarzana, CA 91356 2018-02-20
1114430139 Avb & Lv Corporation Home Health 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 2017-11-13
1881110468 Samina Qadir Registered Nurse 18321 Clark St., Tarzana, CA 91356 2017-08-16
1700306776 Debbie Rehman Lux Marriage & Family Therapist 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 2017-06-21
1467980631 Valley Nerological Services, LLC Radiology 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 2017-05-31
1669906020 Evolve Growth Initiatives LLC Clinic/Center 5435 Aura Avenue, Tarzana, CA 91356 2017-04-12
1780130088 Evolve Growth Initiatives, LLC Clinic/Center 5358 Vanalden Drive, Tarzana, CA 91356 2016-08-28
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy 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: 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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417435926 David Esraeli Dentist 5523 Tampa Ave, Tarzana, CA 91356-3026 2018-08-06
1720444250 Shahin Shamsian D.d.s Inc Dentist 5620 Wilbur Ave Ste 309, Tarzana, CA 91356-1311 2016-01-13
1225407091 Cathy Sargent Dentist 18663 Ventura Blvd Ste 200, Tarzana, CA 91356-4197 2015-09-22
1518342765 Daniel Sang-joon Lee Dentist 19527 Rosita St, Tarzana, CA 91356-4922 2015-07-29
1497155956 Tania Farshi Dentist 5111 Otis Ave, Tarzana, CA 91356-4209 2014-09-02
1639456239 Parisa Eshaghian Dentist 5133 Nestle Ave, Tarzana, CA 91356-4342 2011-11-10
1720383532 Neli Kakoli Dentist 18375 Ventura Blvd # 727, Tarzana, CA 91356-4218 2011-01-26
1821312273 Bella Reznik Dentist 19525 Ventura Blvd, Tarzana, CA 91356 2010-03-15
1932375300 Robert Bootehsaz Dentist 19458 Ventura Blvd Ste 10, Tarzana, CA 91356-3037 2008-05-05
1225248230 Michael Elyson Dentist 19642 Ventura Blvd, Suite B, Tarzana, CA 91356-7125 2007-05-22
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Competitor

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City TARZANA
Zip Code 91356

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Dataset Information

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.

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