Dr. Jiravat Wangwongvivat is a North Hollywood, California based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jiravat Wangwongvivat is
40201 for Dentistry in California. His current practice location is
12724 Sherman Way, North Hollywood. Patients can reach him at
818-765-8280.
Dr. Jiravat Wangwongvivat is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jiravat Wangwongvivat speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jiravat Wangwongvivat |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 12724 Sherman Way, North Hollywood,
California, 91605-5031 |
| Phone: | 818-765-8280 |
| Fax: | 818-765-8454 |
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 are as mentioned below.
| NPI Number: | 1205853157 |
| NPI Enumeration Date: | 16 Jul, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jiravat Wangwongvivat are as mentioned below.
| License Number | Specialization | State | Status | |
| 40201 | Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jiravat Wangwongvivat such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 240201 | Other | California | DELTA DENTAL |
| B40201 | Other | California | DENTI-CAL |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12724 Sherman Way,
North Hollywood, California |
| Zip: | 91605-5031 |
| Phone Number: | 818-765-8280 |
| Fax Number: | 818-765-8454 |
Patients can reach Dr. Jiravat Wangwongvivat 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.