JONATHAN L MADDATU DDS INC


Address: 6736 N. Sepulveda Blvd, Van Nuys, CA 91411-3306
Phone: 8187868803

JONATHAN L MADDATU DDS INC (NPI# 1265696173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265696173
Entity Type Organization
Organization Name JONATHAN L MADDATU DDS INC
Practice Address 6736 N. Sepulveda Blvd
Van Nuys
CA 91411-3306
Mailing Address 6736 N. Sepulveda Blvd
Van Nuys
CA 91411
Practice Telephone 8187868803
Practice Fax Number 8187868570
Mailing Telephone 8187868803
Mailing Fax Number 8187868570
Enumeration Date 2008-07-10
Last Update Date 2009-10-22
Authorized Official Name DR. JONATHAN LORENZO MADDATU (DENTIST)
Authorized Official Telephone 8187868803
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
55562 CA Dental Providers

Office Location

Street Address 6736 N. SEPULVEDA BLVD
City VAN NUYS
State CA
Zip Code 91411-3306

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1639639800 Jacklynne Marder Counselor 5900 Sepulveda Bld., Sherman Oaks, CA 91411 2019-03-22
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215543327 Anahita Behshadpour Dental Corporation Dentist 14435 Hamlin St Ste 205, Van Nuys, CA 91401-6205 2020-09-23
1205259769 Albertina Silva Dds, Inc Dentist 14649 Victory Blvd Ste 24, Van Nuys, CA 91411-4101 2014-02-03
1548551492 Matthew Alan Caligiuri Dentist 14432 Gilmore St, Suite B, Van Nuys, CA 91401-1429 2011-04-27
1740426162 Bayramyan Dds Dental Corp. Dentist 14422 Victory Blvd, Van Nuys, CA 91401-1480 2009-01-07
1659526242 Nissan Rafael Sharaf Dentist 15114 Sherman Way Apt 210, Van Nuys, CA 91405-2089 2008-11-24
1003061193 R. Bruce Kautz Dentist 5816 Van Nuys Blvd, Van Nuys, CA 91401-4218 2008-11-18
1184801789 Dr. Jeannie Ann Molato D.m.d. Dentist 7133 Sepulveda Blvd., Van Nuys, CA 91405 2008-01-25
1215117304 Elizabeth May Estrada Dentist 16935 Vanowen St Ste A, Van Nuys, CA 91406-4565 2007-11-06
1689869448 Mihai Nicolae Dentist 7335 Van Nuys Blvd Ste 104, Van Nuys, CA 91405-1951 2007-09-13
1366636896 Idan Snapir Dds Inc Dentist 15704 1/2 Vanowen St, Van Nuys, CA 91406-5029 2007-08-28
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Competitor

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City VAN NUYS
Zip Code 91411

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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