J.T. Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

B38504 Issued in CA

Legal business name

J.T. DENTAL CORP

Practice address

2323 Noriega St
Suite 208
San Francisco, CA 94122-4259

Phone

(415) 759-7888

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin Tin, D.D.S.

Title

Senior Dentist

Phone

(415) 759-7888

Specialties & licenses 2

Addresses

Other names 1

• laser dentistry Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Siu W. Chan, DDS

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1912108564
  NPD (past)
• Jonathan Kuo Chen, DDS

  • Dentist
  • San Francisco, CA
  • NPI 1720789324
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487752069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 NORIEGA ST",
            "address_2": "SUITE 208",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224259",
            "telephone_number": "415-759-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 NORIEGA ST",
            "address_2": "SUITE 208",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224259",
            "telephone_number": "415-759-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.T. DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "SENIOR DENTIST",
        "authorized_official_telephone_number": "415-759-7888",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "B37744",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "B38504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "laser dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• J. Kuo OD, Optometric Corp.
• J.C. Simpson & Assoc. RPT, Inc.
• Alexander Ja, DDS
• Tamara Ja, L.AC., DIPL.OM, CMT
• Melissa Jaballas, DPM
• Jabari Reeves MD Medical Corporation
• Remy Sharon Jabbour, MFTI

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.