PRIME DENT LABORATORY LLC. NPI 1144019431

NPI Information

  • NPI: 1144019431
  • Provider Name: PRIME DENT LABORATORY, LLC.
  • Classification: Dental Laboratory Technician - 126900000X
  • Entity Type: Organization
  • Address: 14915 SHERMAN WAY # C
    VAN NUYS, CA
    ZIP 91405
  • Phone: (310) 800-5635

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NPI Details

PRIME DENT LABORATORY, LLC. is a dental laboratory technician in Van Nuys, CA. The provider is an individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary. PRIME DENT LABORATORY, LLC. NPI is 1144019431. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14915 SHERMAN WAY # C
VAN NUYS, CA
ZIP 91405-114
Phone: (310) 800-5635

The provider's authorized official is Mariia Frolova .
The authorized official title is Ceo and has the following contact phone number (310) 800-5635.

The enumeration date for this NPI number is 5/2/2025 and was last updated on 5/2/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1126900000XDental Laboratory TechnicianYes

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: 11/21/2025

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