Healthcare Provider Details

I. General information

NPI: 1184298226
Provider Name (Legal Business Name): JANICE MACH DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 GELLERT BLVD STE C
DALY CITY CA
94015-2616
US

IV. Provider business mailing address

PO BOX 475013
SAN FRANCISCO CA
94147-5013
US

V. Phone/Fax

Practice location:
  • Phone: 650-994-2710
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number106138
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: