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:
Authorized official contact:
Name: Shah, Raoul R Doctor of Dental Surgery (DDS)
Phone: (408) 266-6144
Health care specialties
Specialty | Code | License # | 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 6 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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