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ICARE DENTAL GROUP, INC
NPI 1245441617
Dentist - General Practice in San Jose, CA

Active since May 25, 2007
4055 EVERGREEN VILLAGE SQ, SUITE 240, SAN JOSE, CA 95135(408) 223-9118(408) 223-9228 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Icare Dental Group, Inc NPPES

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

ICARE DENTAL GROUP, INC (NPI 1245441617) is a healthcare organization registered as a general practice in San Jose, California and active in the NPI registry since May 2007. The organization lists Chungling Shaaw, Officer, as its authorized official.

NPPES Registry Identity

NPI1245441617
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameICARE DENTAL GROUP, INC
Location Address4055 EVERGREEN VILLAGE SQ, SUITE 240San Jose, CA 95135-1748
Mailing Address4055 Evergreen Village Sq, Suite 240San Jose, CA 95135-1748 · (408) 223-9118 · Fax (408) 223-9228
Phone(408) 223-9118
Fax(408) 223-9228
Organization SubpartNo
Authorized OfficialChungling ShaawOfficer · (408) 223-9118
Enumeration DateMay 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245441617 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 · 48995
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.
4055 EVERGREEN VILLAGE SQ, San Jose, CA 95135
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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 5

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

WALMART INC.
Pharmacy (Community/Retail Pharmacy)
4055 EVERGREEN VILLAGE SQ
SAN JOSE, CA 95135
Santa Clara County (408) 826-0341
CARLOS ROSA DPT
Physical Therapist
4055 EVERGREEN VILLAGE SQ, STE 260
SAN JOSE, CA 95135
Santa Clara County (408) 238-1552
DR. YAMEEN ALI
Pharmacist
4055 EVERGREEN VILLAGE SQ
SAN JOSE, CA 95135
Santa Clara County (408) 826-0341
DR. PETER EA PHARM.D
Pharmacist
4055 EVERGREEN VILLAGE SQ
SAN JOSE, CA 95135
Santa Clara County (408) 826-0341
MR. RAYMUNDO NUECA ROY JR. PT
Physical Therapist
4055 EVERGREEN VILLAGE SQ, STE. 260
SAN JOSE, CA 95135
Santa Clara County (408) 265-2448

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 Icare Dental Group, Inc's NPI number?

The NPI number for Icare Dental Group, Inc is 1245441617. It was assigned to this organization in the NPPES registry on May 25, 2007.

Where is Icare Dental Group, Inc located?

Icare Dental Group, Inc is located at 4055 Evergreen Village Sq Suite 240, San Jose, CA 95135. The listed phone number is (408) 223-9118.

What is Icare Dental Group, 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 Icare Dental Group, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.