Healthcare Provider Details

I. General information

NPI: 1205742905
Provider Name (Legal Business Name): PRIYANKA BELLAP ARISE DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1996 HARVEST RD
PLEASANTON CA
94566-5418
US

IV. Provider business mailing address

1996 HARVEST RD
PLEASANTON CA
94566-5418
US

V. Phone/Fax

Practice location:
  • Phone: 925-599-8161
  • Fax:
Mailing address:
  • Phone: 925-599-8161
  • Fax:

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: DR. PRIYANKA BELLAP JR.
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 925-599-8161