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VERSHININ DENTAL CORPORATION NPI 1275038382


NPI Information

NPI: 1275038382
Provider Name: VERSHININ DENTAL CORPORATION

Doing Business As: BEVERLY HILLS BIODENTAL

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
416 N BEDFORD DR STE 103
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 990-5787
Get Directions

VERSHININ DENTAL CORPORATION is a dentist in Beverly Hills, CA. The provider is 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. VERSHININ DENTAL CORPORATION NPI is 1275038382. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Beverly Hills Biodental.

The provider's business location address is:

416 N BEDFORD DR STE 103
BEVERLY HILLS, CA
ZIP 90210-308
Phone: (310) 990-5787
Fax: (424) 302-0080

The provider's authorized official is Goar Vershinina .
The authorized official title is Dentist/owner and has the following contact phone number (310) 990-5787.

The enumeration date for this NPI number is 3/29/2018 and was last updated on 6/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDDS100895CALIFORNIANo
2122300000XDentistDDS100895CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F1547663MEDICAIDCALIFORNIA
2E3026942MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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