Theodore D Novak Iii, - Dentist in Los Angeles, CA

Theodore D Novak Iii, is a Dentist based in Los Angeles, California. Theodore D Novak Iii is licensed to practice in California (license number 024161) and his current practice location is 714 Tiverton Ave, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (310) 206-3904.

NPI number for Theodore D Novak Iii is 1073205258 and his current mailing address is 1148 Lantern View Dr, Auburn, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073205258.

Contact Information

Theodore D Novak Iii,
714 Tiverton Ave,
Los Angeles, CA 90095-8361
(310) 206-3904
Not Available



Healthcare Provider's Profile

Full NameTheodore D Novak Iii
GenderMale
SpecialityDentist
Location714 Tiverton Ave, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073205258
  • Provider Enumeration Date: 05/24/2023
  • Last Update Date: 05/24/2023

Medical Identifiers

Medical identifiers for Theodore D Novak Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073205258NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 024161 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore D Novak Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theodore D Novak Iii,
1148 Lantern View Dr,
Auburn, CA 95603-5832

Ph: (916) 769-2652
Theodore D Novak Iii,
714 Tiverton Ave,
Los Angeles, CA 90095-8361

Ph: (310) 206-3904

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› Verified 1 days ago


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