JOSEPH CERAVOLO DDS INC NPI 1457521361

NPI Information

  • NPI: 1457521361
  • Provider Name: JOSEPH CERAVOLO DDS INC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 1304 15TH ST
    STE 314
    SANTA MONICA, CA
    ZIP 90404
  • Phone: (310) 394-5879

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NPI Details

JOSEPH CERAVOLO DDS INC is an endodontics dentist in Santa Monica, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. JOSEPH CERAVOLO DDS INC NPI is 1457521361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1304 15TH ST
STE 314
SANTA MONICA, CA
ZIP 90404-809
Phone: (310) 394-5879

The provider's authorized official is Joseph Ceravolo .
The authorized official title is Ceo and has the following contact phone number (310) 990-1636.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/6/2008.

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
11223E0200XDentistEndodontics48513CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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