Provider Demographics
NPI:1902091853
Name:DAMIAN, JOCELYN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:
Last Name:DAMIAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1292 CHESSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-3601
Mailing Address - Country:US
Mailing Address - Phone:408-507-1402
Mailing Address - Fax:
Practice Address - Street 1:1252 S ABEL ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6266
Practice Address - Country:US
Practice Address - Phone:408-945-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA490861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice