Willow Glen Dental Center

LBN: Meridian Dental Associates
Willow Glen Dental Center is an health care organization with primary practice located at 1241 Meridian Avenue , San Jose CA 95125. The organization recently has 8 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / General Practice is the primary health care specialty. Meridian Dental Associates can be contacted via phone (408) 266-6144, or through Shah, Raoul R via phone (408) 266-6144.

Contact Information

Primary practice address
1241 Meridian Avenue San Jose CA 95125
Phone: (408) 266-6144
Fax: (408) 676-4443
Website:
Map and Directions
Authorized official contact:
Name: Shah, Raoul R Doctor of Dental Surgery (DDS)
Phone: (408) 266-6144

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1982131306
LBN Legal business name Meridian Dental Associates
DBA Doing business as Willow Glen Dental Center
Authorized official Shah, Raoul R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2017
Last updated May 9th, 2024 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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