Dylan Booth, DDS

Dentist · Venice, CA

Individual Active NPI

NPI number 1033629837

Practice location

601 Vernon Ave
Venice, CA 90291
Phone
(925) 786-1221

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NPI record

NPI
1033629837
Entity type
Individual (Type 1)
Enumeration date
October 5, 2017
Last updated
May 13, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 101586 CA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

4045 Via Marina # L310
Marina Del Rey, CA 90292-6247
Phone
(925) 786-1221

Other practice locations (1)

  • 462 1st Ave, New York, NY 10016-9196 · (212) 562-4891

About Dr. Booth

Dylan Booth, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 601 Vernon Ave, Venice, CA 90291. The NPI number 1033629837 was assigned on October 5, 2017 and the record was last updated on May 13, 2018.

Dr. Booth lists a license in the registry: #101586 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dylan Booth, DDS?

The NPI number is 1033629837.

What is the phone number of Dr. Booth?

The phone number listed for the practice location is (925) 786-1221.

Where is Dr. Booth located?

601 Vernon Ave, Venice, CA 90291.

What is the taxonomy code for Dr. Booth?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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