MEDICARE: TILDEN BAY JOSEPH DENTAL GROUP

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	122300000X	Dentist

General Provider Information

NPI Number	:	1750981478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TILDEN BAY JOSEPH DENTAL GROUP

Provider Business Mailing Address
First Line	:	2934 1/2 BEVERLY GLEN CIRCLE #451
Second Line	:	451
City	:	LOS ANGELES
State	:	CA
Zip	:	90077-1724
Country	:	US
Telephone Number	:	310-695-1589
Fax Number	:	818-782-0402

Provider Business Practice Location Address
First Line	:	14401 BURBANK BLVD
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91401-4824
Country	:	US
Telephone Number	:	818-782-9500
Fax Number	:	818-782-0402

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	JOSEPH AZIZI
Credential	:
Telephone Number	:	310-466-9571

Provider Enumeration Date	:	10/30/2020
Last Update Date	:	10/30/2020

Similar Medicare Providers

1790884245 — DR. BARUCH TWERSKY DMD
Practice Location Address:

14401 BURBANK BLVD
SHERMAN OAKS, CA
91401-4824

Practice Phone: 818-782-9500
Practice Fax: 818-782-0402

1528128287 — SEPLOW CHIROPRACTIC, INC.
Practice Location Address:

14417 BURBANK BLVD
SHERMAN OAKS, CA
91401-4824

Practice Phone: 818-786-5985
Practice Fax: 818-786-6849

1093875767 — HEALTH WEST MEDICAL CENTER, INC.
Practice Location Address:

14417 BURBANK BLVD
SHERMAN OAKS, CA
91401-4824

Practice Phone: 818-786-3318
Practice Fax:

1932255635 — DR. ALAN HOWARD SEPLOW D.C.
Practice Location Address:

14417 BURBANK BLVD
SHERMAN OAKS, CA
91401-4824

Practice Phone: 818-786-5985
Practice Fax:

1841627825 — TILDEN BAY JOSEPH DENTAL GROUP
Practice Location Address:

14401 BURBANK BLVD
SHERMAN OAKS, CA
91401-4824

Practice Phone: 818-782-9500
Practice Fax: 707-639-8633

1548658966 — HEALTH ATLAST WEST LA
Practice Location Address:

14417 BURBANK BLVD
SHERMAN OAKS, CA
91401-4824

Practice Phone: 818-786-5985
Practice Fax:

Directions to “TILDEN BAY JOSEPH DENTAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.