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VIVID DENTAL STUDIO
NPI 1114176609
Dentist - General Practice in Fullerton, CA

Active since September 09, 2008
301 W BASTANCHURY RD STE 5, FULLERTON, CA 92835(714) 871-4892(714) 871-4896 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivid Dental Studio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVID DENTAL STUDIO (NPI 1114176609) is a healthcare organization registered as a general practice in Fullerton, California and active in the NPI registry since September 2008. The organization lists Tejas Shah, Secretary, as its authorized official.

NPPES Registry Identity

NPI1114176609
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJAYSHREE N. SHAH DDS, INC.
Location Address301 W BASTANCHURY RD STE 5Fullerton, CA 92835-3422
Mailing Address301 W Bastanchury Rd Ste 5Fullerton, CA 92835-3422
Phone(714) 871-4892
Fax(714) 871-4896
Organization SubpartNo
Authorized OfficialTejas ShahSecretary · (714) 871-4892
Enumeration DateSeptember 9, 2008
✔ NPI 1114176609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 34900
Definition
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.
301 W BASTANCHURY RD STE 5, Fullerton, CA 92835
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Other Names 1

Doing Business AsVivid Dental Studio

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JAYSHREE NARENDRA SHAH DDS
Dentist
301 W BASTANCHURY RD STE 5
FULLERTON, CA 92835
Orange County (714) 871-4892
YOO KYONG KIM L.AC.
Acupuncturist
301 W BASTANCHURY RD STE 5
FULLERTON, CA 92835
Orange County (949) 309-7717
DR. BRIAN C. KANG D.C., L.AC.
Acupuncturist
301 W BASTANCHURY RD STE 5
FULLERTON, CA 92835
Orange County (714) 758-0119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jayshree N. Shah Dds, Inc.'s NPI number?

The NPI number for Jayshree N. Shah Dds, Inc. is 1114176609. It was assigned to this organization in the NPPES registry on September 9, 2008. The provider is doing business as Vivid Dental Studio.

Where is Jayshree N. Shah Dds, Inc. located?

Jayshree N. Shah Dds, Inc. is located at 301 W Bastanchury Rd Ste 5, Fullerton, CA 92835. The listed phone number is (714) 871-4892.

What is Jayshree N. Shah Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jayshree N. Shah Dds, Inc. was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.