MEDICARE: VAZGEN KARAPETYAN DDS A

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1215887195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VAZGEN KARAPETYAN DDS A

Provider Business Mailing Address
First Line	:	1741 W GLENOAKS BLVD STE B
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-4735
Country	:	US
Telephone Number	:	818-246-0109
Fax Number	:	818-246-7073

Provider Business Practice Location Address
First Line	:	18511 SHERMAN WAY
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-4213
Country	:	US
Telephone Number	:	818-345-9800
Fax Number	:	818-345-9808

Authorized Official
Title or Position	:	CEO
Name	:	DR. VAZGEN KARAPETYAN
Credential	:	DDS
Telephone Number	:	508-202-0002

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	04/07/2026

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