Bhavana Thakur D.D.S
Clinic/Center, Dental in Campbell, CA. Organization (NPI-2).
NPI number1619019643
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619019643
- Entity type
- Organization (NPI-2)
- Legal business name
- Bhavana Thakur D.D.S
- Organization subpart
- No
- Enumeration date
- Feb 13, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | CA 45033 | CA | Yes |
Practice location
281 E Hamilton AveSuite#3
Campbell, CA 95008-0232
Phone 408-871-0877 · Fax 408-871-2807
Mailing address
281 E . Hamilton AveSuite#3
Campbell, CA 95008
Phone 408-871-0877 · Fax 408-871-2807
Authorized official
Bhavana N Thakur
Owner Dentist
4088710877
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