Blossom Hill Dental Clinic in San Jose - Dentist
Blossom Hill Dental Clinic - NPI 1194991190
Blossom Hill Dental Clinic is a Dentist in San Jose, California. Blossom Hill Dental Clinic practices all healthcare services and medical treatments related to Dentist. The NPI Number for Blossom Hill Dental Clinic is 1194991190. The last update date is 2008-04-30.
Blossom Hill Dental Clinic's current location address is 5460 Dellwood Way Ste A, San Jose, California. You can contact this provider via phone number 4082661117. The mailing address for Blossom Hill Dental Clinic is 5460 Dellwood Way Ste A, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blossom Hill Dental Clinic |
|---|---|
| Address | 5460 Dellwood Way Ste A, San Jose, California |
| Phone Number | 4082661117 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Undorf Yuri |
| Credentials | DDS |
| Telephone Number | 4157525605 |
NPI Number Detail
| NPI Number | 1194991190 |
|---|---|
| Provider Enumeration Date | 2008-04-30 |
| Last Updated Date | 2008-04-30 |
Provider Mailing Address Detail
| Address | 5460 Dellwood Way Ste A |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951182965 |
| Phone Number | 4082661117 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 40751 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G9111501 | CA | DENTI CAL NUMBER ISSUED FOR OF |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Blossom Hill Dental Clinic by the Centers for Medicare & Medicaid Services?
The Blossom Hill Dental Clinic has been assigned the NPI (National Provider Identifier) 1194991190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Blossom Hill Dental Clinic's facilities are geographically located?
The facilities of Blossom Hill Dental Clinic are physically situated at the following location: 5460 Dellwood Way Ste A, San Jose, CA, 951182965.
What is Blossom Hill Dental Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Blossom Hill Dental Clinic's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did the Blossom Hill Dental Clinic receive its 1194991190?
The Blossom Hill Dental Clinic was issued its 1194991190 on 2008-04-30, which is the date when the organization was assigned this unique identifier.
As of what date were the Blossom Hill Dental Clinic's details last updated?
The information pertaining to the Blossom Hill Dental Clinic, including its address, specialty, and other details, was most recently updated on 2008-04-30.