LIFE CONNECTION HEALTH CENTER
NPI 1487133989
Dentist in San Jose, CA

Q: What is Pakravan, Manavi Adn Cohen Dental- San Joe PC's specialty?

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

Active since August 07, 2018

3571 N 1ST ST STE 203, SAN JOSE, CA 95134(408) 424-2200(408) 770-1874 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2020, Aug 7, 2018 (2 updates tracked since 2018).

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About Life Connection Health Center NPPES

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

LIFE CONNECTION HEALTH CENTER (NPI 1487133989) is a healthcare organization registered as a dentist in San Jose, California and active in the NPI registry since August 2018. The organization lists Miguel Reyes, Q/a Contract & Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1487133989

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePAKRAVAN, MANAVI ADN COHEN DENTAL- SAN JOE PC

Location Address3571 N 1ST ST STE 203San Jose, CA 95134-1803

Mailing Address12121 Wilshire Blvd Ste 1111Los Angeles, CA 90025-1188 · (310) 409-4225 · Fax (310) 820-0408

Phone(408) 424-2200

Fax(408) 770-1874

Organization SubpartNo

Authorized OfficialMiguel ReyesQ/a Contract & Compliance Manager · (310) 820-9933

Enumeration DateAugust 7, 2018

Last NPPES UpdateJune 27, 20222 updates tracked since enumeration

NPPES CertifiedJune 27, 2022

✔ NPI 1487133989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

3571 N 1ST ST STE 203, San Jose, CA 95134

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Other Names 1

Doing Business AsLife Connection Health Center

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

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.

HENRY VUONG NGUYEN

Dental Hygienist