MERIDIAN DENTAL ASSOCIATES NPI 1982131306

NPI Information

  • NPI: 1982131306
  • Provider Name: MERIDIAN DENTAL ASSOCIATES
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: WILLOW GLEN DENTAL CENTER
  • Address: 1241 MERIDIAN AVENUE
    SAN JOSE, CA
    ZIP 95125
  • Phone: (408) 266-6144

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NPI Details

MERIDIAN DENTAL ASSOCIATES 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. 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 AVENUE
SAN JOSE, CA
ZIP 95125
Phone: (408) 266-6144
Fax: (408) 676-4443

The provider's authorized official is Raoul R Shah .
The authorized official title is Owner and has the following contact phone number (408) 266-6144.

The enumeration date for this NPI number is 5/16/2017 and was last updated on 5/9/2024.

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
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeYes
41223P0300XDentistPeriodonticsNo
51223S0112XDentistOral and Maxillofacial SurgeryNo
61223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
7124Q00000XDental HygienistNo
8126800000XDental AssistantNo

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: 11/21/2025

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