Individual provider · Type 1 NPI

Jonathan R. Shadi, DDS

Oral & Maxillofacial Surgery (D.M.D.) · Los Angeles, CA

NPI number 1528294709 Active

Practice location

12300 Wilshire Blvd, Ste 326
Los Angeles, CA 90025

Call (310) 954-9449 Map

Fax (310) 954-9470

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X58812 (CA)
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000X58812 (CA)

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

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About NPI 1528294709

Jonathan R. Shadi, DDS's National Provider Identifier is 1528294709, issued on Jun 2, 2009. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 23, 2024.