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Noosha Daftary, DDS, MS

Dentist, Orthodontics and Dentofacial Orthopedics in Santa Clara, CA. Individual provider (NPI-1).

NPI number1750158614
StatusActive
Last updated in NPPESDec 11, 2023

Details

NPI
1750158614
Entity type
Individual (NPI-1)
Name
Noosha Daftary
Credential
DDS, MS
Sex
Female
Sole proprietor
No
Enumeration date
Dec 11, 2023
Certification date
Dec 10, 2023
Last updated
Dec 11, 2023

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 codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial OrthopedicsDDS108761CAYes

Practice location

2825 El Camino Real
Santa Clara, CA 95051-2901

Phone 408-343-4167

Mailing address

437 Via De La Luz
Thousand Oaks, CA 91320-6929

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Santa Clara, CA

All 7 Orthodontics and Dentofacial Orthopedics Dentistry providers in Santa Clara · All 3,952 providers in Santa Clara

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