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

Dr. Srujal Harshad Shah, DDS, DABDSM, DASBA

Individual provider Dentist · NPI 1457684623

Dr. Srujal Harshad Shah, DDS, DABDSM, DASBA is an Oral Surgery in San Jose, California. Graduated from Univ of Calif, Los Angeles School of Dentistry in 2008, 18 years ago. Practices with Dr Srujal H Shah DDS Inc, a 3-clinician group, works from 5 locations and offers telehealth. Licensed in California.

Years since qualifying
18
Trained at
Univ of Calif, Los Angeles School of Dentistry
Licensed in
CA
In the registry since
2009
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

6120 Hellyer Ave Ste 125
San Jose, CA 95138-1066
Phone: (408) 490-0182
Fax: (408) 624-4545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 825 Pollard Rd Ste 100, Los Gatos, CA 95032-1435 — (408) 490-0182
  • 101 Wilson Rd, Monterey, CA 93940-7864 — (408) 490-0182
  • 1081 Market Pl Ste 100, San Ramon, CA 94583-4749 — (408) 490-0182
  • 4340 Scotts Valley Dr Ste H, Scotts Valley, CA 95066-4541 — (408) 490-0182

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 58754 (CA)
Orofacial Pain Dentistry Taxonomy 1223X2210X · Licence 58754 (CA)

Record details

NPI number1457684623
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , DABDSM , DASBA
Sole proprietorNo
NPI enumeratedSeptember 4, 2009
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIV OF CALIF, LOS ANGELES SCHOOL OF DENTISTRY
Graduated 2008 (18 years in practice)
Group practice Dr Srujal H Shah Dds Inc — 3 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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