Healthcare Provider Details

I. General information

NPI: 1487591970
Provider Name (Legal Business Name): EVELYN C.GALVAN D.M.D INC.& ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 GREAT AMERICA PKWY STE 12
SANTA CLARA CA
95054-1231
US

IV. Provider business mailing address

4300 GREAT AMERICA PKWY STE 12
SANTA CLARA CA
95054-1231
US

V. Phone/Fax

Practice location:
  • Phone: 408-496-1016
  • Fax:
Mailing address:
  • Phone: 408-496-1016
  • Fax: 408-213-0789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EVELYN CRUZ GALVAN
Title or Position: DOCTOR
Credential: D.M.D
Phone: 408-496-1016