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Konviser Dental Professional Corporation

Oral surgery practice in Marina Del Rey, CA

Registered specialistLicense # listed (CA)

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Public-record details

Address
4644 Lincoln Blvd Ste 404, Marina Del Rey, CA 90292
Phone
(310) 578-2500
Listed under
Oral & maxillofacial surgeons, Specialty practices
NPI
1831670637
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Oral and Maxillofacial Surgery (1223S0112X)
License number on NPI record
51095 (CA)
Authorized official
Vadim Konviser, DDS, Ceo
NPI first issued
Aug 28, 2018
NPI record last updated
Aug 28, 2018
Other NPIs for this organization here
1265913081

NPI 1831670637 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy; license 51095 (CA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Oral and maxillofacial surgeons are trained in surgery of the mouth and jaws, including placing implants, extractions, bone grafts and sinus lifts, and in anesthesia. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1831670637 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Prosthodontics, the American Board of Oral and Maxillofacial Surgery and the American Board of Periodontology each list their board-certified members.

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