Individual provider · Type 1 NPI

Pedram Eisapooran, DDS

Dentist · San Jose, CA

NPI number 1104302652 Active

Practice location

55 E Julian St
San Jose, CA 95112-4007

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	DEN1001922 (DC)
Dentist	122300000X	36158 (TX)
Dentist Primary	122300000X	106013 (CA)

Dentist: 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 requiremen…

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About NPI 1104302652

Pedram Eisapooran, DDS's National Provider Identifier is 1104302652, issued on Jul 18, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Jose, CA. The record was last updated on Apr 1, 2025.