Provider Demographics
NPI:1326213133
Name:SAHDEV, JYOTI (DDS)
Entity Type:Individual
Prefix:DR
First Name:JYOTI
Middle Name:
Last Name:SAHDEV
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 N WOLFE RD
Mailing Address - Street 2:SEARS THIRD FLOOR
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2507
Mailing Address - Country:US
Mailing Address - Phone:408-996-9567
Mailing Address - Fax:408-996-9556
Practice Address - Street 1:10101 N WOLFE RD
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2507
Practice Address - Country:US
Practice Address - Phone:408-996-9567
Practice Address - Fax:408-996-9556
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA369461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice