Healthcare Provider Details

I. General information

NPI: 1487576468
Provider Name (Legal Business Name): MS DESAI DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 CLARIBEL RD STE H
RIVERBANK CA
95367-9480
US

IV. Provider business mailing address

2401 CLARIBEL RD
RIVERBANK CA
95367-9480
US

V. Phone/Fax

Practice location:
  • Phone: 209-869-4000
  • Fax:
Mailing address:
  • Phone: 209-869-4000
  • 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: MINAL DESAI
Title or Position: OWNER
Credential: DDS
Phone: 209-380-2643