MEDICARE: DR. KEVIN SOLTANI D.D.S.

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	112009	CA

General Provider Information

NPI Number	:	1497815732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN SOLTANI D.D.S.

Provider Business Mailing Address
First Line	:	1785 ALMADEN RD APT 517
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-1974
Country	:	US
Telephone Number	:	669-609-2313
Fax Number	:

Provider Business Practice Location Address
First Line	:	1871 CAMDEN AVE
Second Line	:	WESTERN DENTAL CENTERS
City	:	SAN JOSE
State	:	CA
Zip	:	95124-2945
Country	:	US
Telephone Number	:	408-377-0131
Fax Number	:	408-377-0592

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

Provider Enumeration Date	:	12/09/2006
Last Update Date	:	08/12/2025

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