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Active NPI 1073283602 Individual Practitioner Female Practitioner

Dr. Sruthi Jayakumar , DDS

Dentist - General Practice • Fremont, CA

Professional Overview & Biography Verified Profile Summary

Dr. Sruthi Jayakumar, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fremont, CA. Practice services are available at 3705 BEACON AVE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3705 Beacon Ave Ste 101

Fremont, CA 945381467

Telephone 5107949122

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fremont, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
161 Specialists

Practicing in Fremont, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 106960

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MI 2901601897

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Thomas Spillner , DDS

Dentist - General Practice

NPI 1497979363

Doctor of Dental Surgery

NPI 1689123275

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 19, 2025

Registered at 3705 BEACON AVE STE 101, FREMONT, CA 945381467 (Tel: 5107949122)

📍
Updated Business Mailing Address January 19, 2025

Registered at 526 GLENBRIAR CIR, TRACY, CA 953777010 (Tel: 6507875687)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2025

Dentist (License #2901601897 in MI)

📍
Updated Practice Location October 22, 2023

Registered at 1113 BOARDMAN RD, JACKSON, MI 492021901 (Tel: 5177688100)

📍
Updated Business Mailing Address October 22, 2023

Registered at 5533 CAMBRIDGE CLUB CIR, ANN ARBOR, MI 481039251 (Tel: 6507875687)

NPI Profile Active September 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2021

Registered at 10928 TRINITY PKWY, STOCKTON, CA 952197230 (Tel: 2094748000)

📍
Updated Business Mailing Address September 15, 2021

Registered at 526 GLENBRIAR CIR, TRACY, CA 953777010 (Tel: 6507875687)

👤
Provider Name / Credentials Updated September 15, 2021

Recorded as SRUTHI JAYAKUMAR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2021

Dentist (License #106960 in CA)

🟢
Initial NPI Registration & Enumeration September 15, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073283602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2021
Last Update: January 19, 2025
Sole Proprietor: Yes

Mailing Address

526 Glenbriar Cir

Tracy, CA 953777010

Phone: 6507875687

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.