Provider Type Icon

TAJIK NAMINIK & KOSHKI DDS INC NPI 1710332838


NPI Information

NPI: 1710332838
Provider Name: TAJIK NAMINIK & KOSHKI DDS INC

Former Legal Business Name: MODERN SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10545 VICTORY BLVD
NORTH HOLLYWOOD, CA
ZIP 91606
Phone: (818) 763-9353
Get Directions

TAJIK NAMINIK & KOSHKI DDS INC is a general practice dentist in North Hollywood, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TAJIK NAMINIK & KOSHKI DDS INC NPI is 1710332838. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Modern Smiles.

The provider's business location address is:

10545 VICTORY BLVD
NORTH HOLLYWOOD, CA
ZIP 91606-916
Phone: (818) 763-9353
Fax: (818) 763-6227

The provider's authorized official is Kasra Tajik .
The authorized official title is Dentist and has the following contact phone number (818) 763-9395.

The enumeration date for this NPI number is 4/26/2016 and was last updated on 4/26/2016.


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 Practice63665CALIFORNIAYes

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
144505OTHERCALIFORNIALICENCE
261426OTHERCALIFORNIALICENCE
363665OTHERCALIFORNIALICENCE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.