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

Individual provider Dentist · NPI 1568909943

Pratiksha Agrawal, BDS, MSC is a Dentist in San Jose, California. Practices as a sole proprietor and works from 5 locations. Licensed in California, Illinois, Indiana and Michigan and 2 more.

Licensed in
CA, IL, IN, MI, VA, WA
In the registry since
2017
Specialties on file
6
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Practice location Address checks out

704 Blossom Hill Rd Ste 100
San Jose, CA 95123-5403
Phone: (408) 363-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 105 W Madison St Fl 3, Chicago, IL 60602 — (888) 506-9583
  • 105 W Madison St Fl 3, Chicago, IL 60602 — (888) 506-9583
  • 10012 Calumet Ave, Munster, IN 46321-4055 — (855) 806-4907
  • 22541 Gratiot Ave, Eastpointe, MI 48021-2360 — (586) 777-0001

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence CA105767 (CA)
Dentist Taxonomy 122300000X · Licence 2901022098 (MI)
Dentist Taxonomy 122300000X · Licence DE60631437 (WA)
Dentist Taxonomy 122300000X · Licence 0401415375 (VA)
Dentist Taxonomy 122300000X · Licence 12013080A (IN)
Dentist Taxonomy 122300000X · Licence 019031038 (IL)

Record details

NPI number1568909943
Entity typeIndividual (Type 1)
GenderFemale
Credentials BDS , MSC
Sole proprietorYes
NPI enumeratedJanuary 24, 2017
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 18, 2024

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