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DE ANZA DENTAL CENTER INC. NPI 1215153861


NPI Information

NPI: 1215153861
Provider Name: DE ANZA DENTAL CENTER INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1035 S DE ANZA BLVD.
SUITE #4
SAN JOSE, CA
ZIP 95129
Phone: (408) 252-4850
Get Directions

DE ANZA DENTAL CENTER INC. is a general practice dentist in San Jose, 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. DE ANZA DENTAL CENTER INC. NPI is 1215153861. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1035 S DE ANZA BLVD.
SUITE #4
SAN JOSE, CA
ZIP 95129
Phone: (408) 252-4850
Fax: (408) 252-4339

The provider's authorized official is Po-jen Lin .
The authorized official title is Owner and has the following contact phone number (408) 252-4850.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 5/1/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice38556CALIFORNIAYes

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: 4/28/2024

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