Provider Demographics
NPI:1336272186
Name:JOHN T. NORRIS D.D.S., INC.
Entity Type:Organization
Organization Name:JOHN T. NORRIS D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-268-1891
Mailing Address - Street 1:6529 CROWN BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-2905
Mailing Address - Country:US
Mailing Address - Phone:408-268-1891
Mailing Address - Fax:408-268-5365
Practice Address - Street 1:6529 CROWN BLVD STE A
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95120-2905
Practice Address - Country:US
Practice Address - Phone:408-268-1891
Practice Address - Fax:408-268-5365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA270481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty