Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PENHASIAN SHAMSIAN DENTAL CORPORATION
Active
Organization
PENHASIAN SHAMSIAN DENTAL CORPORATION
Active
Other names
Kids Dental Pals & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX PENHASIAN DDS (CEO)
(310) 500-6980
Entity
Organization
Contact information
Practice address
2410 SYCAMORE DR STE A, SIMI VALLEY, CA 93065-2358
(310) 500-6980
Mailing address
2410 SYCAMORE DR STE A, SIMI VALLEY, CA 93065-2358
(310) 500-6980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up