Organization
SINA BANANKHAH DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SINA BANANKHAH DDS (OWNER DENTIST)
(818) 287-0910
Entity
Organization
Contact information
Practice address
12930 VENTURA BLVD STE 226B, STUDIO CITY, CA 91604-2200
(818) 287-0910
Mailing address
12930 VENTURA BLVD STE 226B, STUDIO CITY, CA 91604-2200
(818) 287-0910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DDS104655
DENTAL LICENSE
CA
Enumeration date
06/21/2024
Last updated
09/07/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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