San Jose Dental Surgery Center, Inc.
LBN: San Jose Dental Surgery Center, Inc.
San Jose Dental Surgery Center, Inc. is an health care organization with primary practice located at 1998 Alum Rock Ave , San Jose CA 95116-2003. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
San Jose Dental Surgery Center, Inc. can be contacted via phone (408) 240-9000, or through Nguyen, Kham via phone (408) 240-9000.
Contact Information
Primary practice address
1998 Alum Rock Ave
San Jose CA 95116-2003
Phone: (408) 240-9000
Fax:
Website:
Authorized official contact:
Name: Nguyen, Kham Doctor of Dental Surgery (DDS)
Phone: (408) 240-9000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | D52747 | California |
| Ambulatory Health Care Facilities / Dental | 261QD0000X | D52747 | California |
Profile Details
| NPI number | 1902086606 |
|---|---|
| LBN Legal business name | San Jose Dental Surgery Center, Inc. |
| DBA Doing business as | |
| Authorized official | Nguyen, Kham Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2007 |
| Last updated | Dec 16th, 2019 - about 6 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902086606 | NPPES |
| California | Other | D52747 | DENTI-CAL LICENSE NUMBER |
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