San Jose Dental Surgery Center, Inc. in San Jose - Dental
San Jose Dental Surgery Center, Inc. - NPI 1902086606
San Jose Dental Surgery Center, Inc. is a Dental in San Jose, California. San Jose Dental Surgery Center, Inc. practices all healthcare services and medical treatments related to Dental. The NPI Number for San Jose Dental Surgery Center, Inc. is 1902086606. The last update date is 2019-12-16.
San Jose Dental Surgery Center, Inc.'s current location address is 1998 Alum Rock Ave, San Jose, California. You can contact this provider via phone number 4082409000. The mailing address for San Jose Dental Surgery Center, Inc. is 1998 Alum Rock Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Jose Dental Surgery Center, Inc. |
|---|---|
| Address | 1998 Alum Rock Ave, San Jose, California |
| Phone Number | 4082409000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Nguyen Kham |
| Credentials | DDS |
| Telephone Number | 4082409000 |
NPI Number Detail
| NPI Number | 1902086606 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2019-12-16 |
Provider Mailing Address Detail
| Address | 1998 Alum Rock Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951162003 |
| Phone Number | 4082409000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D52747 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D52747 | CA | DENTI-CAL LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to San Jose Dental Surgery Center, Inc. by the Centers for Medicare & Medicaid Services?
The San Jose Dental Surgery Center, Inc. has been issued the NPI (National Provider Identifier) 1902086606. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where San Jose Dental Surgery Center, Inc. is geographically located?
The San Jose Dental Surgery Center, Inc. is physically situated at the following location: 1998 Alum Rock Ave, San Jose, CA, 951162003.
What is San Jose Dental Surgery Center, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for San Jose Dental Surgery Center, Inc. is Dental, and the corresponding taxonomy classification code for this specialized field is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902086606 to San Jose Dental Surgery Center, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1902086606 to San Jose Dental Surgery Center, Inc. on 2007-11-09.
When was the information pertaining to San Jose Dental Surgery Center, Inc. most recently updated or revised?
The details related to San Jose Dental Surgery Center, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2019-12-16.
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