MEDICARE: SIGNATURE SMILES DENTAL GROUP - BURBANK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1043006588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNATURE SMILES DENTAL GROUP - BURBANK

Provider Business Mailing Address
First Line	:	3331 CASTLEMAN LN
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-1630
Country	:	US
Telephone Number	:	818-454-6382
Fax Number	:

Provider Business Practice Location Address
First Line	:	2114 N GLENOAKS BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-2827
Country	:	US
Telephone Number	:	818-846-8915
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. DAVID KARO SHIRINIAN
Credential	:	DDS
Telephone Number	:	818-454-6382

Provider Enumeration Date	:	04/18/2025
Last Update Date	:	04/24/2025

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