SAN JOSE DENTAL SURGERY CENTER INC. NPI 1902086606

NPI Information

NPI: 1902086606
Provider Name: SAN JOSE DENTAL SURGERY CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1998 ALUM ROCK AVE
SAN JOSE, CA
ZIP 95116
Phone: (408) 240-9000
Get Directions

SAN JOSE DENTAL SURGERY CENTER, INC. is an ambulatory surgical clinic center in San Jose, CA. SAN JOSE DENTAL SURGERY CENTER, INC. NPI is 1902086606. The provider is registered as an organization entity type.

The provider's business location address is:

1998 ALUM ROCK AVE
SAN JOSE, CA
ZIP 95116-003
Phone: (408) 240-9000

The provider's authorized official is Kham Nguyen .
The authorized official title is Vice President and has the following contact phone number (408) 240-9000.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 12/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	D52747	CALIFORNIA	Yes
2	261QD0000X	Clinic/Center	Dental	D52747	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D52747	OTHER	CALIFORNIA	DENTI-CAL LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »