MEDICARE: BLOSSOM DENTAL EXCELLENCE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	46802	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1336159383	OTHER	CA	TYPE 1 - NPI NUMBER

General Provider Information

NPI Number	:	1093936957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOSSOM DENTAL EXCELLENCE, INC

Provider Business Mailing Address
First Line	:	6134 CAMINO VERDE DR
Second Line	:	SUITE E
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1431
Country	:	US
Telephone Number	:	408-227-4010
Fax Number	:	408-227-4011

Provider Business Practice Location Address
First Line	:	6134 CAMINO VERDE DR
Second Line	:	SUITE E
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1431
Country	:	US
Telephone Number	:	408-227-4010
Fax Number	:	408-227-4011

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JASWINDER GHUMAN
Credential	:	D.D.S.
Telephone Number	:	408-227-4010

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	08/13/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1336159383 — DR. JASWINDER GHUMAN D.D.S.
Practice Location Address:

6134 CAMINO VERDE DR STE E
SAN JOSE, CA
95119-1431

Practice Phone: 408-227-4010
Practice Fax: 408-227-4011

1346441300 — DR. RITA S MITBAVKAR DDS
Practice Location Address:

6134 CAMINO VERDE DR STE G
SAN JOSE, CA
95119-1431

Practice Phone: 408-226-1600
Practice Fax: 408-226-1670

1578890950 — DR. RENUKA DILIP LALWANI D.D.S.
Practice Location Address:

6134 CAMINO VERDE DR , SUITE G
SAN JOSE, CA
95119-1431

Practice Phone: 408-226-1600
Practice Fax:

1144628066 — GHUMAN DENTAL CARE
Practice Location Address:

6134 CAMINO VERDE DR STE E
SAN JOSE, CA
95119-1431

Practice Phone: 408-608-4269
Practice Fax:

1821558750 — ELIZABETH A WELLS DC
Practice Location Address:

6134 CAMINO VERDE DR STE H
SAN JOSE, CA
95119-1431

Practice Phone: 408-334-4742
Practice Fax:

Directions to “BLOSSOM DENTAL EXCELLENCE, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.