Healthcare Provider Details

I. General information

NPI: 1174436166
Provider Name (Legal Business Name): ZAIDOON OWAIS DDS, MS PDC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/24/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 W CAPITAL EXPY
SAN JOSE CA
95136-3914
US

IV. Provider business mailing address

511 W CAPITAL EXPY
SAN JOSE CA
95136-3914
US

V. Phone/Fax

Practice location:
  • Phone: 408-448-3888
  • Fax: 408-448-3895
Mailing address:
  • Phone: 408-448-3888
  • Fax: 408-448-3895

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. ZAIDOON OWAIS
Title or Position: OWNER/DENTIST
Credential: DDS, MS
Phone: 408-448-3888