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JAIME V. EVANGELISTA JR D.M.D INC. NPI 1851476766


NPI Information

NPI: 1851476766
Provider Name: JAIME V. EVANGELISTA JR, D.M.D, INC.

Doing Business As: GATEWAY PLAZA DENTAL CLINIC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
24901 SANTA CLARA ST
SUITE B-2
HAYWARD, CA
ZIP 94544
Phone: (510) 887-6835
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JAIME V. EVANGELISTA JR, D.M.D, INC. is a general practice dentist in Hayward, 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. JAIME V. EVANGELISTA JR, D.M.D, INC. NPI is 1851476766. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gateway Plaza Dental Clinic.

The provider's business location address is:

24901 SANTA CLARA ST
SUITE B-2
HAYWARD, CA
ZIP 94544-147
Phone: (510) 887-6835
Fax: (510) 887-2872

The provider's authorized official is Jaime Victores Evangelista .
The authorized official title is Dentist and has the following contact phone number (510) 887-6835.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.


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 Practice37103CALIFORNIAYes

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: 11/14/2023

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