SEASIDE PERIO CENTRE
NPI 1457849960
Clinic/Center - Dental in Fremont, CA

Active since April 30, 2018
43625 MISSION BLVD STE 105, FREMONT, CA 94539(669) 245-7494 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Seaside Perio Centre NPPES

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

SEASIDE PERIO CENTRE (NPI 1457849960) is a healthcare organization registered as a dental in Fremont, California and active in the NPI registry since April 2018. The organization lists Logesh Swayamprakasam, Periodontist, as its authorized official.Information from the official NPPES registry record, last updated April 30, 2018.

NPPES Registry Identity

NPI1457849960
Entity TypeOrganization
Legal Business NameDENTAL WHITE MANAGEMENT LLC
Location Address43625 MISSION BLVD STE 105Fremont, CA 94539-5800
Mailing Address3680 Beacon Ave Apt 320Fremont, CA 94538-3046 · (224) 877-0645 · Fax (669) 265-0400
Organization SubpartNo
Authorized OfficialLogesh SwayamprakasamPeriodontist · (224) 877-0645
Enumeration DateApril 30, 2018
NPI 1457849960 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Clinic/Center · Dental

Taxonomy 261QD0000X · Ambulatory Health Care Facilities

Licensed in CA · DDS100140
43625 MISSION BLVD STE 105, Fremont, CA 94539

Also on File with NPPES

Other Names1
Seaside Perio Centre (Doing Business As)
Other Identifiers1
1215262225 (Medicaid, OH)

Reviews for SEASIDE PERIO CENTRE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Dental)
43625 MISSION BLVD STE 105
FREMONT, CA 94539
Dentist (General Practice)
43625 MISSION BLVD STE 105
FREMONT, CA 94539

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457849960, enumerated as an "organization" on April 30, 2018.

The provider is located at 43625 MISSION BLVD STE 105 FREMONT, CA 94539 and the phone number is (669) 245-7494.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.