Miriam R Acosta, DDS
Individual provider Active NPI General Practice Dentistry · Cupertino, CA
NPI 1154447746 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154447746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 35585 (CA)
- Practice address
- 19286 Stevens Creek Blvd
Cupertino, CA 95014-2504 - Phone
- (408) 253-2296
- Fax
- (408) 873-1215
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35585 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35585 | CA | Yes |
Addresses
Primary practice location
19286 Stevens Creek Blvd
Cupertino, CA 95014-2504
Mailing address
21085 Lauretta Dr
Cupertino, CA 95014-1655
Phone (408) 253-2296
Other providers in Cupertino, CA
- Reem Abutabikh
- Ac Wellness Network
- Ac Wellness Network
- Ac Wellness Network
- Ac Wellness on Demand Medical, PLLC
- Acuenergy Health Center
- Jennifer Adams
- Mala Matti Adhikari
- Rosafel R. Adriano-Nogra
- Affiliated Psychologists & Counselors, Inc.
All providers in Cupertino, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.