DR. VINCENT D VAN DDS
NPI 1053748608
Dentist - Pediatric Dentistry in San Jose, CA

Active since September 27, 2013
1771 TRUDEAN WAY, SAN JOSE, CA 95132(408) 768-7858 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vincent D Van Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VINCENT D VAN DDS (NPI 1053748608) is an individual pediatric dentistry provider in San Jose, California, licensed in California (62978) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1053748608
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. VINCENT D VANCredential: DDS
Location Address1771 TRUDEAN WAYSan Jose, CA 95132-1540
Mailing Address1771 Trudean WaySan Jose, CA 95132-1540 · (408) 768-7858
Sole ProprietorNo
Enumeration DateSeptember 27, 2013
NPI 1053748608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 62978
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1771 TRUDEAN WAY, San Jose, CA 95132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Van's NPI number?

The NPI number for Vincent Van is 1053748608. It was assigned to this individual provider in the NPPES registry on September 27, 2013.

Where is Vincent Van located?

Vincent Van practices at 1771 Trudean Way, San Jose, CA 95132. The listed phone number is (408) 768-7858.

What is Vincent Van's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Vincent Van was last updated on September 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.