Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. David M. Ichimura, DDS

Individual provider General Practice Dentistry · NPI 1417082041

Dr. David M. Ichimura, DDS is a General Practice Dentistry in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2400 Moorpark Ave Ste 110
San Jose, CA 95128-2623
Phone: (408) 286-1276
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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 40248 (CA)

Record details

NPI number1417082041
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 22, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2400 Moorpark Ave Ste 110, San Jose, CA 95128-2623

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