C-DENTAL X-RAY INC. NPI 1295101137

NPI Information

  • NPI: 1295101137
  • Provider Name: C-DENTAL X-RAY, INC.
  • Classification: Dental Laboratory - 292200000X
  • Entity Type: Organization
  • Address: 5150 GRAVES AVE
    STE. 8D
    SAN JOSE, CA
    ZIP 95129
  • Phone: (408) 446-9729

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NPI Details

C-DENTAL X-RAY, INC. is a dental laboratory in San Jose, CA. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. C-DENTAL X-RAY, INC. NPI is 1295101137. The provider is registered as an organization entity type.

The provider's business location address is:

5150 GRAVES AVE
STE. 8D
SAN JOSE, CA
ZIP 95129-013
Phone: (408) 446-9729

The provider's authorized official is Jerome N Peck .
The authorized official title is Ceo and has the following contact phone number (650) 207-6209.

The enumeration date for this NPI number is 8/14/2015 and was last updated on 8/14/2015.

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
1292200000XDental LaboratoryRHP00053519CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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