Healthcare Provider Details

I. General information

NPI: 1891612081
Provider Name (Legal Business Name): JASON HSIAO DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 E STANLEY BLVD STE A
LIVERMORE CA
94550-4050
US

IV. Provider business mailing address

999 E STANLEY BLVD STE A
LIVERMORE CA
94550-4050
US

V. Phone/Fax

Practice location:
  • Phone: 925-443-3443
  • Fax: 925-449-7902
Mailing address:
  • Phone: 925-443-3443
  • Fax: 925-449-7902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JASON HSIAO
Title or Position: OWNER
Credential: DDS
Phone: 925-443-3443