SHYAMA SUBHADARSINI DDS INC NPI 1912647629

NPI Information

NPI: 1912647629
Provider Name: SHYAMA SUBHADARSINI DDS INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4155 MOORPARK AVE STE 17
SAN JOSE, CA
ZIP 95117
Phone: (408) 249-7762
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SHYAMA SUBHADARSINI DDS INC is a dental clinic center in San Jose, CA. SHYAMA SUBHADARSINI DDS INC NPI is 1912647629. The provider is registered as an organization entity type.

The provider's business location address is:

4155 MOORPARK AVE STE 17
SAN JOSE, CA
ZIP 95117-714
Phone: (408) 249-7762
Fax: (408) 249-7764

The provider's authorized official is Shyama Subhadarsini .
The authorized official title is Dentist and has the following contact phone number (408) 249-7762.

The enumeration date for this NPI number is 3/30/2022 and was last updated on 3/30/2022.

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	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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