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

Dr. Jonathan R. Shadi, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1528294709

Dr. Jonathan R. Shadi, DDS is an Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
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.

See every abbreviation used in this directory →

Practice location Address checks out

12300 Wilshire Blvd Ste 326
Los Angeles, CA 90025
Phone: (310) 954-9449
Fax: (310) 954-9470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 58812 (CA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 58812 (CA)

Record details

NPI number1528294709
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

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