DENTAL AVENUE – NPI #1316513641
Clinic/Center
DENTAL AVENUE is an AHC clinic located in SAN JOSE, CA. NPPES has assigned the NPI number 1316513641 to DENTAL AVENUE on May 27, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DENTAL AVENUE” is a dba name, the actual legal business name for this organization is QUACH DENTAL CORPORATION. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental
The NPI profile was previously updated about 3 years ago on Jun 29, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DENTAL AVENUE below.
NPI Profile for
QUACH DENTAL CORPORATION
(more than 5 years ago)
SAN JOSE, CA 95128 Phone: (408) 923-8888 Fax:
SAN JOSE, CA 95151-2116 Phone: Fax:
PRESIDENT
Phone: (408) 923-8888
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QD0000X - Clinic/Center / Dental (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.