MEDICARE: GREGORY D. KAPLAN,DDS

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	1223E0200X	Endodontics	32932	CA
2	1223G0001X	General Practice Dentistry	32932	CA
3	1223P0221X	Pediatric Dentistry	32932	CA
4	1223P0300X	Periodontics	32932	CA
5	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	32932	CA
6	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	32932	CA
7	122300000X	Dentist	32932	CA

General Provider Information

NPI Number	:	1528070703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREGORY D. KAPLAN,DDS

Provider Business Mailing Address
First Line	:	3932 WILSHIRE BLVD
Second Line	:	SUITE 100
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3307
Country	:	US
Telephone Number	:	213-386-3336
Fax Number	:	213-386-2935

Provider Business Practice Location Address
First Line	:	3932 WILSHIRE BLVD
Second Line	:	SUITE 100
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3307
Country	:	US
Telephone Number	:	213-386-3336
Fax Number	:	213-386-2935

Authorized Official
Title or Position	:	DENTIST/ADMINISTRATOR
Name	:	DR. GREGORY D KAPLAN
Credential	:	DDS
Telephone Number	:	213-386-3336

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/01/2008

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