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WILLOW GLEN DENTAL SPECIALISTS
NPI 1609385020
Dentist - Oral and Maxillofacial Surgery in San Jose, CA

Active since September 28, 2017
1706 WILLOW ST STE A, SAN JOSE, CA 95125(408) 504-4935 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2018, Apr 12, 2018 (2 updates tracked since 2018).

About Willow Glen Dental Specialists NPPES

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

WILLOW GLEN DENTAL SPECIALISTS (NPI 1609385020) is a healthcare organization registered as an oral and maxillofacial surgery in San Jose, California and active in the NPI registry since September 2017. The organization lists Rosie Adame, Medical Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1609385020
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWILLOW GLEN DENTAL SPECIALISTS
Location Address1706 WILLOW ST STE ASan Jose, CA 95125-5216
Mailing Address1706 Willow St Ste ASan Jose, CA 95125-5216 · (408) 478-9081 · Fax (408) 904-7201
Phone(408) 504-4935
Organization SubpartNo
Authorized OfficialRosie AdameMedical Billing Specialist · (408) 266-6144
Enumeration DateSeptember 28, 2017
Last NPPES UpdateMay 10, 20182 updates tracked since enumeration
✔ NPI 1609385020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License DDS54347
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
1706 WILLOW ST STE A, San Jose, CA 95125
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

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

1706 SAPANA KOTHARY DDS INC
Clinic/Center (Multi-Specialty)
1706 WILLOW ST STE A
SAN JOSE, CA 95125
Santa Clara County (408) 478-9081
DR. BONNIE MARIE EVERETT DDS
Dentist
1706 WILLOW ST STE A
SAN JOSE, CA 95125
Santa Clara County (408) 264-8365
ALANE M LEE
Dentist (General Practice)
1706 WILLOW ST STE A
SAN JOSE, CA 95125
Santa Clara County (408) 265-8365

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 Willow Glen Dental Specialists's NPI number?

The NPI number for Willow Glen Dental Specialists is 1609385020. It was assigned to this organization in the NPPES registry on September 28, 2017.

Where is Willow Glen Dental Specialists located?

Willow Glen Dental Specialists is located at 1706 Willow St Ste A, San Jose, CA 95125. The listed phone number is (408) 504-4935.

What is Willow Glen Dental Specialists's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Willow Glen Dental Specialists accept?

Health plans from UnitedHealthcare list Willow Glen Dental Specialists as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willow Glen Dental Specialists was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.