OrganizationActive
Blossom Hill Dental Clinic
NPI 1194991190 · Dentist · San Jose, CA
Blossom Hill Dental Clinic is a Dentist organization in San Jose, CA (NPI 1194991190).
Provider details
- NPI number
- 1194991190
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Richmond Dental Care
- Organization subpart
- Yes
- Authorized official
- Yuri Undorf, Owner(415) 752-5605
- License
- 40751 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5460 Dellwood Way Ste a
San Jose, CA 95118-2965
Phone: (408) 266-1117
Street-level locationGet directions
Mailing address
5460 Dellwood Way Ste a
San Jose, CA 95118-2965
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2008-04-30
Frequently asked questions
- What is Blossom Hill Dental Clinic's NPI number?
- Blossom Hill Dental Clinic's National Provider Identifier (NPI) is 1194991190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossom Hill Dental Clinic?
- Blossom Hill Dental Clinic is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Blossom Hill Dental Clinic located?
- Blossom Hill Dental Clinic's practice location on file with NPPES is 5460 Dellwood Way Ste a, San Jose, CA 95118-2965.
- What is Blossom Hill Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Blossom Hill Dental Clinic is (408) 266-1117.
- Who is the authorized official for Blossom Hill Dental Clinic?
- The authorized official listed on Blossom Hill Dental Clinic's NPPES record is Yuri Undorf, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossom Hill Dental Clinic's NPI active?
- Yes — Blossom Hill Dental Clinic's NPI (1194991190) is active in the NPPES registry as of the last update on 2008-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.