Dr Srujal H Shah Dds Inc
Oral and Maxillofacial Surgery
6120 Hellyer Ave Ste 125, San Jose
California, 95138-1066
408-490-0182 408-624-4545
Dr Srujal H Shah Dds Inc is a Oral and Maxillofacial Surgery in San Jose, California. It is located at 6120 Hellyer Ave Ste 125, San Jose and it's customer support contact number is 408-490-0182. The authorized person of Dr Srujal H Shah Dds Inc is Dr. Srujal Harshad Shah, D.D.S. who is President of this DME and his contact number is 408-490-0182. Active license number of Dr Srujal H Shah Dds Inc is 58754 for Oral and Maxillofacial Surgery in California. Dr Srujal H Shah Dds Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Dr Srujal H Shah Dds Inc is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
DME Supplier Details:
Dr Srujal H Shah Dds Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Dr Srujal H Shah Dds Inc |
| Type: | Oral and Maxillofacial Surgery |
| Location: | 6120 Hellyer Ave Ste 125, San Jose,
California, 95138-1066 |
| Phone: | 408-490-0182 |
| Fax: | 408-624-4545 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Srujal Harshad Shah |
| Credentials: | D.D.S. |
| Position: | President |
| Contact Number: | 408-490-0182 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1639480973 |
| NPI Enumeration Date: | 01 Jul, 2010 |
| NPI Last Update On: | 16 Oct, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr Srujal H Shah Dds Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 58754 | California | Primary | |
| Customized Equipment | | | Secondary | |
Medicare Enrollment:
Dr Srujal H Shah Dds Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4486840634 | O20101130000584 | Dr Srujal H Shah Dds Inc | DME SUPPLIER - ORAL SURGERY - DENTIST |
| 4486840634 | O20120918000579 | Dr Srujal H Shah Dds Inc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6120 Hellyer Ave Ste 125,
San Jose, California |
| Zip: | 95138-1066 |
| Phone Number: | 408-490-0182 |
| Fax Number: | 408-624-4545 |
Patients can reach Dr Srujal H Shah Dds Inc at
6120 Hellyer Ave Ste 125, San Jose, California or can
call on customer care at 408-490-0182.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.