MILES MADISON D D S INC NPI 1538662036

NPI Information

  • NPI: 1538662036
  • Provider Name: MILES MADISON D D S INC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 350 S BEVERLY DR STE 160
    BEVERLY HILLS, CA
    ZIP 90212
  • Phone: (310) 553-2940

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NPI Details

MILES MADISON D D S INC is an oral and maxillofacial surgery dentist in Beverly Hills, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MILES MADISON D D S INC NPI is 1538662036. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 S BEVERLY DR STE 160
BEVERLY HILLS, CA
ZIP 90212-815
Phone: (310) 553-2940
Fax: (310) 553-5096

The provider's authorized official is Miles Madison .
The authorized official title is Owner and has the following contact phone number (310) 553-2940.

The enumeration date for this NPI number is 3/12/2018 and was last updated on 5/21/2024.

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
11223S0112XDentistOral and Maxillofacial Surgery37446CALIFORNIAYes

What is NPI?

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

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