OrganizationActive
Theresia Laksmana - DMD - Dental Corporation
NPI 1124428271 · Periodontics · Culver City, CA
Theresia Laksmana - DMD - Dental Corporation is a Periodontics organization in Culver City, CA (NPI 1124428271).
Provider details
- NPI number
- 1124428271
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Theresia Laksmana, President(310) 945-8382
- License
- 58149 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12035 Lucile St
Culver City, CA 90230-6239
Phone: (310) 945-8382
Street-level locationGet directions
Mailing address
12035 Lucile St
Culver City, CA 90230-6239
Registry dates
- Enumerated
- 2014-08-26
- Last updated
- 2014-08-26
Frequently asked questions
- What is Theresia Laksmana - DMD - Dental Corporation's NPI number?
- Theresia Laksmana - DMD - Dental Corporation's National Provider Identifier (NPI) is 1124428271, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Theresia Laksmana - DMD - Dental Corporation?
- Theresia Laksmana - DMD - Dental Corporation is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Theresia Laksmana - DMD - Dental Corporation located?
- Theresia Laksmana - DMD - Dental Corporation's practice location on file with NPPES is 12035 Lucile St, Culver City, CA 90230-6239.
- What is Theresia Laksmana - DMD - Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Theresia Laksmana - DMD - Dental Corporation is (310) 945-8382.
- Who is the authorized official for Theresia Laksmana - DMD - Dental Corporation?
- The authorized official listed on Theresia Laksmana - DMD - Dental Corporation's NPPES record is Theresia Laksmana, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Theresia Laksmana - DMD - Dental Corporation's NPI active?
- Yes — Theresia Laksmana - DMD - Dental Corporation's NPI (1124428271) is active in the NPPES registry as of the last update on 2014-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.