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LIFETIME DENTAL CARE
NPI 1740201896
Dentist - General Practice in San Jose, CA

Active since July 22, 2006
1062 S DE ANZA BLVD STE C103, SAN JOSE, CA 95129(408) 255-9666(408) 255-4524 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifetime Dental Care NPPES

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

LIFETIME DENTAL CARE (NPI 1740201896) is a healthcare organization registered as a general practice in San Jose, California and active in the NPI registry since July 2006. The organization lists Wendy C Lu, President, as its authorized official.

NPPES Registry Identity

NPI1740201896
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE
Location Address1062 S DE ANZA BLVD STE C103San Jose, CA 95129-3556
Mailing Address1062 S De Anza Blvd Ste C103San Jose, CA 95129-3556 · (408) 255-9666 · Fax (408) 255-4524
Phone(408) 255-9666
Fax(408) 255-4524
Organization SubpartNo
Authorized OfficialWendy C LuPresident · (408) 255-9666
Enumeration DateJuly 22, 2006
Last NPPES UpdateFebruary 25, 2013
✔ NPI 1740201896 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 · 42062
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.
1062 S DE ANZA BLVD STE C103, San Jose, CA 95129
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. WENDY LU
Dentist (General Practice)
1062 S DE ANZA BLVD STE C103
SAN JOSE, CA 95129
Santa Clara County (408) 255-9666
DR. TIFFANY YAU DDS
Dentist (General Practice)
1062 S DE ANZA BLVD STE C103
SAN JOSE, CA 95129
Santa Clara County (408) 255-9666

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 Lifetime Dental Care's NPI number?

The NPI number for Lifetime Dental Care is 1740201896. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Lifetime Dental Care located?

Lifetime Dental Care is located at 1062 S De Anza Blvd Ste C103, San Jose, CA 95129. The listed phone number is (408) 255-9666.

What is Lifetime Dental Care'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 Lifetime Dental Care was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.