SOUTHLAND DENTAL CARE NPI 1659562098

NPI Information

  • NPI: 1659562098
  • Provider Name: SOUTHLAND DENTAL CARE
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 4312 WOODMAN AVE
    SUITE #100
    SHERMAN OAKS, CA
    ZIP 91423
  • Phone: (818) 788-8787

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NPI Details

SOUTHLAND DENTAL CARE is a periodontics dentist in Sherman Oaks, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SOUTHLAND DENTAL CARE NPI is 1659562098. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4312 WOODMAN AVE
SUITE #100
SHERMAN OAKS, CA
ZIP 91423-546
Phone: (818) 788-8787
Fax: (818) 788-4858

The provider's authorized official is Delaram Hanookai .
The authorized official title is Periodontics and has the following contact phone number (818) 788-8787.

The enumeration date for this NPI number is 8/8/2007 and was last updated on 4/28/2009.

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
11223G0001XDentistGeneral Practice53049CALIFORNIANo
21223P0300XDentistPeriodontics41919CALIFORNIAYes

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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