# JEREMY K UENO DMD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629682901
- **Authorized official:** JEREMY K UENO DDS (OWNER/CEO)
- **Authorized official phone:** (408) 402-2159

## Contact information

- **Practice address:** 2160 S BASCOM AVE STE 1, CAMPBELL, CA 95008-3297
- **Practice address phone:** (408) 371-7616
- **Practice address fax:** (408) 371-7615
- **Mailing address:** 2160 S BASCOM AVE STE 1, CAMPBELL, CA 95008-3297
- **Mailing address phone:** (408) 371-7616
- **Mailing address fax:** (408) 371-7651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2020
- **Last updated:** 09/04/2020