Organization · Type 2 NPI

Elie Dental Corporation

Periodontics · Burbank, CA

NPI number 1740389972 Active

Practice location

1635 N Victory Pl
Burbank, CA 91502-1645

Fax (818) 565-0047

Mailing address

2860 Michelle, 2nd Floor
Irvine, CA 92606-1009

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X47470 (CA)
Periodontics Primary 1223P0300X43860 (CA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X37440 (CA)

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 1740389972

Elie Dental Corporation's National Provider Identifier is 1740389972, issued on Sep 22, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Burbank, CA. The record was last updated on Sep 11, 2025.