Jiravat Wangwongvivat, D.d.s. , A Professional Corporation
Dental Clinic
12724 Sherman Way, North Hollywood
California, 91605-5031
818-765-8280 818-765-8454
Maps & DirectionsJiravat Wangwongvivat, D.d.s. , A Professional Corporation is a Dental Clinic in North Hollywood, California. It is located at 12724 Sherman Way, North Hollywood, CA and its contact number is 818-765-8280. The authorized person for Jiravat Wangwongvivat, D.d.s. , A Professional Corporation is Dr. Jiravat Wangwongvivat
who is President of the clinic and their contact number is 818-765-8280. The primary license number for Jiravat Wangwongvivat, D.d.s. , A Professional Corporation is 40201 (General Practice) in California.
Jiravat Wangwongvivat, D.d.s. , A Professional Corporation Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Jiravat Wangwongvivat, D.d.s. , A Professional Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jiravat Wangwongvivat, D.d.s. , A Professional Corporation |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 12724 Sherman Way, North Hollywood,
California, 91605-5031 |
| Phone: | 818-765-8280 |
| Fax: | 818-765-8454 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jiravat Wangwongvivat |
| Position: | President |
| Contact Number: | 818-765-8280 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jiravat Wangwongvivat, D.d.s. , A Professional Corporation clinic are as mentioned below.
| NPI Number: | 1912996455 |
| NPI Enumeration Date: | 18 Oct, 2005 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jiravat Wangwongvivat, D.d.s. , A Professional Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 40201 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| B40201-01 | Other | California | Medi-cal I. D. Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jiravat Wangwongvivat, D.d.s. , A Professional Corporation
12724 Sherman Way,
North Hollywood, California |
| Zip: | 91605-5031 |
| Phone Number: | 818-765-8280 |
| Fax Number: | 818-765-8454 |
Patients can reach Jiravat Wangwongvivat, D.d.s. , A Professional Corporation at
12724 Sherman Way, North Hollywood, California or can
call to book an appointment on 818-765-8280.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.