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

Individual provider General Practice Dentistry · NPI 1770609547

Dr. Shiho Tamai Theriot, DDS is a General Practice Dentistry in Los Angeles, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and Louisiana.

Licensed in
CA, LA
In the registry since
2007
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

5400 Fountain Ave
Los Angeles, CA 90029-1007
Phone: (323) 461-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3533 Motor Ave, Los Angeles, CA 90034-4806 — (310) 836-8900

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DDS62082 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5666 (LA)

Record details

NPI number1770609547
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 22, 2007
Last updated in NPPESOctober 5, 2024
Certification dateOctober 5, 2024

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