Healthcare Provider Details

I. General information

NPI: 1699674432
Provider Name (Legal Business Name): SKYLER CHU DDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2026
Last Update Date: 11/05/2026
Certification Date: 11/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 BEACON AVE STE A
FREMONT CA
94538-1464
US

IV. Provider business mailing address

730 31ST AVE
SAN FRANCISCO CA
94121-3524
US

V. Phone/Fax

Practice location:
  • Phone: 510-796-7474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SKYLER LAWRENCE CHU
Title or Position: PRESIDENT
Credential: DDS
Phone: 415-601-9024