SWANSON DENTAL CORPORATION (NPI# 1275975393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275975393 |
| Entity Type | Organization |
| Organization Name | SWANSON DENTAL CORPORATION |
| Other Organization Name | SWNAON DENAL CORPORATION |
| Practice Address |
3535 Ross Ave Ste 302 San Jose CA 95124-3038 |
| Practice Telephone | 4082656501 |
| Practice Fax Number | 4082656502 |
| Mailing Telephone | 4082656501 |
| Mailing Fax Number | 4082656502 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |
| Authorized Official Name | DR. DIANA SWANSON (OWNER) |
| Authorized Official Telephone | 4082656501 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
51603 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Swnaon Denal Corporation | Doing Business As Name - Organization |
| Street Address |
3535 ROSS AVE STE 302 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659713766 | Rana Baroudi, Dmd, Ms Dental Corporation | Dentist | 3535 Ross Ave Ste 302, San Jose, CA 95124-3038 | 2013-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740758648 | Yan Kalika Dental Corporation | Dentist | 5130 Stevens Creek Blvd Ste B, San Jose, CA 95129-1019 | 2018-11-08 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1922330620 | Eric J Yokota | Dentist | 1688 Willow St., Suite E, San Jose, CA 95125 | 2010-02-04 |
| 1487894499 | Ramya Ramamurthy | Dentist | 750 N Capitol Ave Ste A1, San Jose, CA 95133-1902 | 2009-03-03 |
| 1265681365 | Gary Wallace Moss | Dentist | 1680 Westwood Dr Ste D, San Jose, CA 95125-5105 | 2008-09-12 |
| 1902027410 | Nava Fathi | Dentist | 2581 Samaritan Dr., Suite 110, San Jose, CA 95124 | 2007-05-01 |
| 1295892115 | Jeffrey V. Merrifield, D.d.s., Inc. | Dentist | 2664 Berryessa Rd Ste 116, San Jose, CA 95132-2906 | 2007-01-02 |
| 1538261458 | Kelly Allyn Conlon | Dentist | 2000 Forest Ave, Suite D, San Jose, CA 95128-4831 | 2006-09-01 |
| 1982712741 | Jeffrey D. Krupp | Dentist | 3994 S Bascom Ave, #5, San Jose, CA 95124-2663 | 2006-08-29 |
| 1952418014 | Gurpreet Singh Narula | Dentist | 150 N Jackson Ave Ste 212, San Jose, CA 95116-1908 | 2006-08-24 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on SWANSON DENTAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.