Healthcare Provider Details

I. General information

NPI: 1629982707
Provider Name (Legal Business Name): JIANG & ASSOCIATED DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 SHOWERS DR STE 3
MOUNTAIN VIEW CA
94040-1457
US

IV. Provider business mailing address

2181 EDGEWOOD RD
EMERALD HILLS CA
94062-3808
US

V. Phone/Fax

Practice location:
  • Phone: 650-917-8348
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNULL

VIII. Authorized Official

Name: XINYI JIANG
Title or Position: PRESIDENT
Credential: DMD
Phone: 765-237-2036