1692 Tully Dentistry is a Dental Clinic in San Jose, California. It is located at 2114 Senior Road, Suite 25, San Jose, CA and its contact number is 408-279-2114. The authorized person for 1692 Tully Dentistry is Mrs. Phung Kim Nguyen
who is Dentist of the clinic and their contact number is 408-279-2114. The primary license number for 1692 Tully Dentistry is 44749 (Dentist) in California.
1692 Tully Dentistry Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
1692 Tully Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | 1692 Tully Dentistry |
| Specialization: | Dentistry |
| Clinic Address: | 2114 Senior Road, Suite 25, San Jose,
California, 95112 |
| Phone: | 408-279-2114 |
| Fax: | 408-279-1828 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Phung Kim Nguyen |
| Position: | Dentist |
| Contact Number: | 408-279-2114 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for 1692 Tully Dentistry clinic are as mentioned below.
| NPI Number: | 1649406133 |
| NPI Enumeration Date: | 10 Jun, 2009 |
| NPI Last Update On: | 10 Jun, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 1692 Tully Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 44749 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1692 Tully Dentistry
1692 Tully Road, #4
San Jose, California |
| Zip: | 95122 |
| Phone Number: | 408-223-6953 |
| Fax Number: | 408-223-0749 |
Patients can reach 1692 Tully Dentistry at
2114 Senior Road, Suite 25, San Jose, California or can
call to book an appointment on 408-279-2114.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.