Willow Glen Dental Specialists

LBN: Willow Glen Dental Specialists
Willow Glen Dental Specialists is an health care organization with primary practice located at 1706 Willow St Ste A , San Jose CA 95125-5216. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Willow Glen Dental Specialists can be contacted via phone (408) 504-4935, or through Adame, Rosie via phone (408) 266-6144.

Contact Information

Primary practice address
1706 Willow St Ste A San Jose CA 95125-5216
Phone: (408) 504-4935
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adame, Rosie
Phone: (408) 266-6144

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DDS54347
Dental Providers / Endodontics 1223E0200X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1609385020
LBN Legal business name Willow Glen Dental Specialists
DBA Doing business as
Authorized official Adame, Rosie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2017
Last updated May 10th, 2018 - about 8 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.

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