Laurel Dental San Mateo

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAUREL DENTAL SAN MATEO

Practice address

100 S El Camino Real
San Mateo, CA 94401-3810

Phone

(650) 232-9025

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Jean Wu, DDSNPI 1598920936

Title

President

Phone

(650) 232-9025

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jean Wu

  • Dentist
  • San Carlos, CA
  • NPI 1598920936
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1952075152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013810",
            "telephone_number": "650-232-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL DENTAL SAN MATEO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-232-9025",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Lau, CPNP-PC
• Danielle Lau
• Jessica Lau
• Megan Lau
• Terrence Y. Lau, DDS
• Rose Laury
• Lisa Laux
• Charlene Joy Umayam Lava, PT, DPT
• Craig Steven Lavalley
• Lisa Lavaysse, PSY.D.

• Dental Clinic/Center in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.