OrganizationActive
Ucla School of Dentistry Esthetic
NPI 1962545103 · General Practice Dentistry · Los Angeles, CA
Provider details
- NPI number
- 1962545103
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Reuben Kim, Division Chair(310) 825-7312
- License
- 21347 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
10833 Le Conte Ave Rm 33-064a
Los Angeles, CA 90095-3075
Phone: (310) 825-4736
Fax: (310) 267-2656
Street-level locationGet directions
Mailing address
10833 Le Conte Ave.
Los Angeles, CA 90095-1668
Other names (DBA / former)
- Former legal business name
- Esthetic Dentistry Department- Bill Yancey
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.