MEDICARE: DR. KAZUYA UYESUGI DDS

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	1223G0001X	General Practice Dentistry	33866	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000033866	OTHER	CA	DELTA DENTAL
2	770131080	OTHER	CA	TAX ID USED FOR OTHER INS
3	970422	OTHER	CA	UNITED CONCORDIA

General Provider Information

NPI Number	:	1255438354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAZUYA UYESUGI DDS

Provider Business Mailing Address
First Line	:	974 WILLOW ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-2344
Country	:	US
Telephone Number	:	408-279-4337
Fax Number	:	408-279-4555

Provider Business Practice Location Address
First Line	:	974 WILLOW ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-2344
Country	:	US
Telephone Number	:	408-279-4337
Fax Number	:	408-279-4555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/04/2013

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

1003296443 — KAZ UYESUGI DDS INC
Practice Location Address:

974 WILLOW ST
SAN JOSE, CA
95125-2344

Practice Phone: 408-279-4337
Practice Fax: 408-279-4555

1831691989 — SHANNON MARSHA LIONG DDS
Practice Location Address:

974 WILLOW ST
SAN JOSE, CA
95125-2344

Practice Phone: 408-279-4337
Practice Fax:

1659214781 — CHAEUN YOON
Practice Location Address:

423 LOS ARBOLES ST
SAN JOSE, CA
95111-2344

Practice Phone: 408-283-6260
Practice Fax:

1396730719 — TRACY THAO LE O.D.
Practice Location Address:

301 N JACKSON AVE , SUITE 1
SAN JOSE, CA
95133-2344

Practice Phone: 408-259-1818
Practice Fax: 408-259-1871

1023024676 — DR. DAVID HOANG DDS
Practice Location Address:

301 N JACKSON AVE # M
SAN JOSE, CA
95133-2344

Practice Phone: 408-258-3400
Practice Fax:

Directions to “ DR. KAZUYA UYESUGI DDS” 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.