Organization · Type 2 NPI

DR Srujal H Shah DDS Inc

Oral and Maxillofacial Surgery (Dentist) · San Jose, CA

NPI number 1639480973 Active

Practice location

6120 Hellyer Ave Ste 125
San Jose, CA 95138-1066

Fax (408) 624-4545

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	58754 (CA)
Customized Equipment (DME)	332BC3200X	None listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

4 other providers at this address

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NPI record

NPI: 1639480973
Entity type: Organization (Type 2)
Issued: Jul 1, 2010
Last updated: Oct 16, 2023
Status: Active

Other names

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Spark Sleep Solutions · doing business as
Spark Sleep Solutions · doing business as

Authorized official

Dr. Srujal Harshad Shah, DDS
President
(408) 490-0182

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639480973

DR Srujal H Shah DDS Inc's National Provider Identifier is 1639480973, issued on Jul 1, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Jose, CA. The record was last updated on Oct 16, 2023.