Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrie Maneepetasut DMD Inc

Organization Dentist · NPI 1285815340

Jeffrie Maneepetasut DMD Inc is a Dentist in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4606 Hollywood Blvd Ste B
Los Angeles, CA 90027-5462
Phone: (323) 663-3850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 53468 (CA)

Record details

NPI number1285815340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrie Maneepetasut — President · (617) 312-5663
NPI enumeratedNovember 16, 2007
Last updated in NPPESNovember 16, 2007
Mailing address4606 Hollywood Blvd, Suite B, Los Angeles, CA 90027-5462

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