GENTLE DENTAL HILLSDALE - NPI 1467417378 - Dentist in San Mateo, CA

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Gentle Dental Hillsdale NPPES

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

GENTLE DENTAL HILLSDALE (NPI 1467417378) is a healthcare organization registered as a general practice in San Mateo, California and active in the NPI registry since April 2006. The organization lists Faith Ramientos Tabujara, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1467417378

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLERIAN DENTAL CORPORATION

Location Address360 HILLSDALE MALLSan Mateo, CA 94403-3425

Mailing Address555 W Benjamin Holt Dr, Bldg BStockton, CA 95207-3839 · (209) 476-4700 · Fax (209) 478-8758

Phone(650) 341-8008

Fax(650) 341-7675

Organization SubpartNo

Authorized OfficialFaith Ramientos TabujaraCredentialing Coordinator · (209) 476-4728

Enumeration DateApril 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1467417378 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 · 13847

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.

360 HILLSDALE MALL, San Mateo, CA 94403

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Other Names 1

Doing Business AsGentle Dental Hillsdale

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

SHIFTEH IRANMANESH DMD

Dentist