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

Jiravat Wangwongvivat, DDS , a Professional Corporation

Organization General Practice Dentistry · NPI 1912996455

Jiravat Wangwongvivat, DDS , a Professional Corporation is a General Practice Dentistry in North Hollywood, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
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Practice location Address checks out

12724 Sherman Way
North Hollywood, CA 91605-5031
Phone: (818) 765-8280
Fax: (818) 765-8454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 40201 (CA)

Record details

NPI number1912996455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jiravat Wangwongvivat — President · (818) 765-8280
Other names Thai Smile Dental Care
NPI enumeratedOctober 18, 2005
Last updated in NPPESAugust 22, 2020
Mailing address12724 Sherman Way, North Hollywood, CA 91605-5031

Other providers in North Hollywood