MEDICARE: HEENA GUPTA 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	32097	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	1223G0001X	General Practice Dentistry	103612	CA

General Provider Information

NPI Number	:	1770934846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEENA GUPTA DDS

Provider Business Mailing Address
First Line	:	1300 22ND ST APT 114
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-3832
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1241 MISSION RD
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-1397
Country	:	US
Telephone Number	:	650-588-3710
Fax Number	:

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

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	02/02/2020

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

1376541706 — DR. JOHN BRYAN DELL D.D.S.
Practice Location Address:

1245 MISSION RD
SOUTH SAN FRANCISCO, CA
94080-1397

Practice Phone: 650-952-9565
Practice Fax: 650-952-9383

1952400681 — DR. KENNETH KAION TSE JR. DDS
Practice Location Address:

1215 MISSION RD
SOUTH SAN FRANCISCO, CA
94080-1397

Practice Phone: 650-871-5437
Practice Fax: 650-873-2662

1538242409 — DR. WAYNE JOSEPH DDS
Practice Location Address:

1241 MISSION RD
SOUTH SAN FRANCISCO, CA
94080-1397

Practice Phone: 650-588-3710
Practice Fax:

1033446901 — DR. CATHERINE DESIMINI D.M.D
Practice Location Address:

1215 MISSION RD
SOUTH SAN FRANCISCO, CA
94080-1397

Practice Phone: 543-765-0871
Practice Fax:

1225465560 — TSE DENTAL CORPORATION
Practice Location Address:

1215 MISSION RD
SOUTH SAN FRANCISCO, CA
94080-1397

Practice Phone: 650-871-5437
Practice Fax:

Directions to “ HEENA GUPTA 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.