Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ahmed Manassra, DMD

Individual provider Dentist · NPI 1164195475

Dr. Ahmed Manassra, DMD is a Dentist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

841 Blossom Hill Rd Ste 202
San Jose, CA 95123-2708
Phone: (408) 913-5946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 106754 (CA)
Dentist Taxonomy 122300000X · Licence 106754 (CA)

Record details

NPI number1164195475
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 1, 2021
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

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