MERIDIAN DENTAL ASSOCIATES NPI 1982131306

NPI Information

NPI: 1982131306
Provider Name: MERIDIAN DENTAL ASSOCIATES

Doing Business As: WILLOW GLEN DENTAL CENTER

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
1241 MERIDIAN AVE
SAN JOSE, CA
ZIP 95125
Phone: (408) 266-6144
Get Directions

MERIDIAN DENTAL ASSOCIATES is a periodontics dentist in San Jose, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. MERIDIAN DENTAL ASSOCIATES NPI is 1982131306. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Willow Glen Dental Center.

The provider's business location address is:

1241 MERIDIAN AVE
SAN JOSE, CA
ZIP 95125-210
Phone: (408) 266-6144
Fax: (408) 266-6040

The provider's authorized official is Sapana Karsan Kothary .
The authorized official title is Dds and has the following contact phone number (408) 656-9657.

The enumeration date for this NPI number is 5/16/2017 and was last updated on 2/25/2021.

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	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	No
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	No
3	122300000X	Dentist		No
4	1223E0200X	Dentist	Endodontics	No
5	1223G0001X	Dentist	General Practice	No
6	124Q00000X	Dental Hygienist		No
7	126800000X	Dental Assistant		No
8	1223P0300X	Dentist	Periodontics	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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