Organization · Type 2 NPI

Ethan Madison, DDS Inc

Periodontics · Beverly Hills, CA

NPI number 1285556563 Active

Practice location

350 S Beverly Dr Ste 160
Beverly Hills, CA 90212-4815

Call (310) 713-9548 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1285556563

Ethan Madison, DDS Inc's National Provider Identifier is 1285556563, issued on Jul 28, 2026. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Beverly Hills, CA. The record was last updated on Aug 11, 2026.