MEDICARE: DR. RUJVI BHATT 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	122300000X	Dentist	60448	CA
2	1223G0001X	General Practice Dentistry	60448	CA

General Provider Information

NPI Number	:	1265729750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUJVI BHATT DDS

Provider Business Mailing Address
First Line	:	702 JENNY ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95138-1369
Country	:	US
Telephone Number	:	858-750-9005
Fax Number	:

Provider Business Practice Location Address
First Line	:	545 SARATOGA AVE STE B
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-5672
Country	:	US
Telephone Number	:	408-247-5442
Fax Number	:

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

Provider Enumeration Date	:	07/05/2011
Last Update Date	:	07/10/2019

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