Edmond de St Georges DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

19493 Issued in CA

Legal business name

EDMOND DE ST GEORGES DDS INC

Practice address

452 E Calaveras Blvd
Milpitas, CA 95035-5412

Phone

(408) 263-1255

Fax

(408) 263-5167

NPI assigned

Oct 28, 2006

Last updated

Apr 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edmond De St Georges, DDS

Title

Dentist Ceo

Phone

(408) 263-1255

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amandeep Virdi

  • Dentist
  • Milpitas, CA
  • NPI 1538415641
  NPD (past)

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1649356098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 E CALAVERAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355412",
            "telephone_number": "408-263-1255",
            "fax_number": "408-263-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 E CALAVERAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355412",
            "telephone_number": "408-263-1255",
            "fax_number": "408-263-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND DE ST GEORGES DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "DE ST GEORGES",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "DENTIST CEO",
        "authorized_official_telephone_number": "408-263-1255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "19493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.