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

Dr. Ethan Sean Madison, DDS

Individual provider Periodontics · NPI 1356034789

Dr. Ethan Sean Madison, DDS is a Periodontics in Beverly Hills, California. Works from 3 locations. Licensed in Alabama and California.

Licensed in
AL, CA
In the registry since
2023
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

350 S Beverly Dr Ste 160
Beverly Hills, CA 90212-4815
Phone: (310) 553-2940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2732 Santa Anita Ave, El Monte, CA 91733-2262 — (626) 444-2605
  • 44244 Division St, Lancaster, CA 93535-3525 — (310) 713-9548

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D.007218-C1 (AL)
Periodontics Taxonomy 1223P0300X · Licence 109310 (CA)

Record details

NPI number1356034789
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 31, 2023
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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