BLOSSOM HILL DENTAL CLINIC
NPI 1194991190
Dentist in San Jose, CA
- Organization
- Dentist
About BLOSSOM HILL DENTAL CLINIC
This page provides the complete NPI Profile along with additional information for Blossom Hill Dental Clinic, a provider established in San Jose, California operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1194991190 assigned on April 2008. The practitioner's primary taxonomy code is 122300000X with license number 40751 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Yuri Undorf Dds (Owner)
- NPI
- 1194991190 Verify this NPI
- Provider Name
- BLOSSOM HILL DENTAL CLINIC
- Entity Type
- Organization
- Location Address
- 5460 DELLWOOD WAY STE A SAN JOSE, CA 95118
- Location Phone
- (408) 266-1117
- Mailing Address
- 5460 DELLWOOD WAY STE A SAN JOSE, CA 95118
- Mailing Phone
- (408) 266-1117
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-30-2008
- Last Update Date
- 04-30-2008
- Code Navigator
A dentist like Blossom Hill Dental Clinic is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 40751
- License State
- CA
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G9111501 | OTHER (01) | CA | DENTI CAL NUMBER ISSUED FOR OFFICE #1 |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194991190, enumerated as an "organization" on April 30, 2008.
The provider is located at 5460 DELLWOOD WAY STE A SAN JOSE, CA 95118 and the phone number is (408) 266-1117.
Dentist with taxonomy code 122300000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
