DR. SRUTHI JAYAKUMAR DDS NPI 1073283602

NPI Information

  • NPI: 1073283602
  • Provider Name: DR. SRUTHI JAYAKUMAR, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 3705 BEACON AVE STE 101
    FREMONT, CA
    ZIP 94538
  • Phone: (510) 794-9122

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NPI Details

DR. Sruthi Jayakumar, DDS is a general practice dentist in Fremont, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Sruthi Jayakumar, DDS NPI is 1073283602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3705 BEACON AVE STE 101
FREMONT, CA
ZIP 94538-467
Phone: (510) 794-9122

The enumeration date for this NPI number is 9/15/2021 and was last updated on 1/19/2025.

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
11223G0001XDentistGeneral Practice2901601897MICHIGANNo
21223G0001XDentistGeneral Practice106960CALIFORNIAYes

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: 11/21/2025

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