Organization · Type 2 NPI

West San Jose Modern Dentistry, Inc.

General Practice Dentistry · San Jose, CA

NPI number 1821968512 Active

Practice location

5142 Stevens Creek Blvd
San Jose, CA 95129-1019

Fax (408) 728-8331

Mailing address

PO Box 660041
Dallas, TX 75266-0041

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

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About NPI 1821968512

West San Jose Modern Dentistry, Inc.'s National Provider Identifier is 1821968512, issued on Nov 7, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Jose, CA. The record was last updated on Nov 7, 2025.