Provider Demographics
NPI:1871229641
Name:CAI, MIKE (DDS)
Entity type:Individual
Prefix:DR
First Name:MIKE
Middle Name:
Last Name:CAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20681 CELESTE CIR
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-0482
Mailing Address - Country:US
Mailing Address - Phone:408-512-4373
Mailing Address - Fax:
Practice Address - Street 1:1419 BIRD AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-1815
Practice Address - Country:US
Practice Address - Phone:408-297-8505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107649122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist