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

Andre Eliasian, DDS

Individual provider General Practice Dentistry · NPI 1023443454

Andre Eliasian, DDS is a General Practice Dentistry in Glendale, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1249 W Glenoaks Blvd
Glendale, CA 91201-2238
Phone: (818) 649-1772
Fax: (818) 649-1774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17800 Chatsworth St, Granada Hills, CA 91344-5611 — (818) 391-0000

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 62927 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 62927 (CA)

Record details

NPI number1023443454
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 4, 2013
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address1249 W Glenoaks Blvd, Glendale, CA 91201-2238

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