MEDICARE: UCSF SCHOOL OF DENTISTRY CLINIC NO. 1

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	1002	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G01002-01	OTHER	CA	DENTICAL

General Provider Information

NPI Number	:	1528151529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UCSF SCHOOL OF DENTISTRY CLINIC NO. 1

Provider Business Mailing Address
First Line	:	707 PARNASSUS AVE
Second Line	:	BOX 0752
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2210
Country	:	US
Telephone Number	:	415-476-1891
Fax Number	:	415-476-6110

Provider Business Practice Location Address
First Line	:	707 PARNASSUS AVE
Second Line	:	BOX 0752
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2210
Country	:	US
Telephone Number	:	415-476-1891
Fax Number	:	415-476-0409

Authorized Official
Title or Position	:	DEAN, SCHOOL OF DENTISTRY
Name	:	DR. MICHAEL REDDY
Credential	:	DMD, DMSC
Telephone Number	:	415-476-1323

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	11/05/2019

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

1306803960 — RICHARD A. SMITH DDS
Practice Location Address:

707 PARNASSUS AVE
SAN FRANCISCO, CA
94143-2210

Practice Phone: 415-476-1316
Practice Fax: 415-476-6305

1588621163 — RAYMOND L BRAHAM DDS
Practice Location Address:

707 PARNASSUS AVE
SAN FRANCISCO, CA
94143-2210

Practice Phone: 415-476-8404
Practice Fax: 415-514-2561

1972560043 — DR. HIEU D PHAM MD, DDS
Practice Location Address:

707 PARNASSUS AVE
SAN FRANCISCO, CA
94143-2210

Practice Phone: 415-476-1313
Practice Fax: 415-476-8999

1639137789 — DR. PAMELA DENBESTEN DDS
Practice Location Address:

707 PARNASSUS AVE
SAN FRANCISCO, CA
94143-2210

Practice Phone: 415-476-3276
Practice Fax: 415-476-2044

1760411128 — DR. DENLY HERBERT DDS
Practice Location Address:

707 PARNASSUS AVE , BOX 0752
SAN FRANCISCO, CA
94143-2210

Practice Phone: 415-476-4946
Practice Fax: 415-242-0108

Directions to “UCSF SCHOOL OF DENTISTRY CLINIC NO. 1 ” 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.