BLOSSOM HILL DENTAL CLINIC
NPI 1194991190
Dentist in San Jose, CA

Q: What is Blossom Hill Dental Clinic's NPI number?

The NPI number for Blossom Hill Dental Clinic is 1194991190. It was assigned to this organization in the NPPES registry on April 30, 2008.

Q: What is Blossom Hill Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 30, 2008

5460 DELLWOOD WAY STE A, SAN JOSE, CA 95118(408) 266-1117 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blossom Hill Dental Clinic NPPES

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

BLOSSOM HILL DENTAL CLINIC (NPI 1194991190) is a healthcare organization registered as a dentist in San Jose, California and active in the NPI registry since April 2008. The organization lists Yuri Undorf, Owner, as its authorized official.

NPPES Registry Identity

NPI1194991190

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBLOSSOM HILL DENTAL CLINIC

Location Address5460 DELLWOOD WAY STE ASan Jose, CA 95118-2965

Mailing Address5460 Dellwood Way Ste ASan Jose, CA 95118-2965 · (408) 266-1117

Phone(408) 266-1117

Organization SubpartYesParent: Richmond Dental Care

Authorized OfficialYuri UndorfOwner · (415) 752-5605

Enumeration DateApril 30, 2008

✔ NPI 1194991190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 40751

Definition

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.

5460 DELLWOOD WAY STE A, San Jose, CA 95118

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Other Identifiers 1

OtherG9111501CA · Denti Cal Number Issued For Office #1

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Blossom Hill Dental Clinic's NPI number?

The NPI number for Blossom Hill Dental Clinic is 1194991190. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is Blossom Hill Dental Clinic located?

Blossom Hill Dental Clinic is located at 5460 Dellwood Way Ste A, San Jose, CA 95118. The listed phone number is (408) 266-1117.

What is Blossom Hill Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Blossom Hill Dental Clinic was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.