MEDICARE: WESTERN DENTAL SERVICES, INC.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932627866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN DENTAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	530 S MAIN ST
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4525
Country	:	US
Telephone Number	:	714-480-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 WHITTIER BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-3115
Country	:	US
Telephone Number	:	323-780-0009
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	PREET TAKKAR
Credential	:
Telephone Number	:	714-571-3372

Provider Enumeration Date	:	08/30/2017
Last Update Date	:	06/30/2022

Similar Medicare Providers

1982738803 — JERRY L LANIER DDS INC.
Practice Location Address:

4900 WHITTIER BLVD
LOS ANGELES, CA
90022-3115

Practice Phone: 323-780-0009
Practice Fax: 323-780-9744

1972709509 — MAKHSUDOVA DENTAL CORPORATION
Practice Location Address:

4900 WHITTIER BLVD
LOS ANGELES, CA
90022-3115

Practice Phone: 323-780-0009
Practice Fax: 323-780-9744

1730376559 — FARMACIA REMEDIOS INC
Practice Location Address:

4916 WHITTIER BLVD
LOS ANGELES, CA
90022-3115

Practice Phone: 323-266-8800
Practice Fax: 323-266-0800

1174836860 — DR. SAHAND ZARRABIAN DDS
Practice Location Address:

4900 WHITTIER BLVD
LOS ANGELES, CA
90022-3115

Practice Phone: 323-780-0000
Practice Fax:

1538701321 — RAVEN BARTLETT
Practice Location Address:

4922 WHITTIER BLVD
LOS ANGELES, CA
90022-3115

Practice Phone: 323-201-9343
Practice Fax:

1346885423 — UNITED MEDICAL IMAGING HEALTHCARE, INC.
Practice Location Address:

4916 WHITTIER BLVD
LOS ANGELES, CA
90022-3115

Practice Phone: 213-596-8100
Practice Fax: 213-596-8111

Directions to “WESTERN DENTAL SERVICES, INC. ” 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.