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

Dr. Pedram Eisapooran, DDS

Individual provider Dentist · NPI 1104302652

Dr. Pedram Eisapooran, DDS is a Dentist in San Jose, California. Licensed in California, District of Columbia and Texas. Registered with an NPI since 2018.

Licensed in
CA, DC, TX
In the registry since
2018
Specialties on file
3
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

55 E Julian St
San Jose, CA 95112-4007
Phone: (408) 457-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 106013 (CA)
Dentist Taxonomy 122300000X · Licence DEN1001922 (DC)
Dentist Taxonomy 122300000X · Licence 36158 (TX)

Record details

NPI number1104302652
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 18, 2018
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

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