SUN SURGICAL DENTAL GROUP
NPI 1104697531
Dentist - Oral and Maxillofacial Surgery in San Jose, CA

Active since January 15, 2024
225 N JACKSON AVE, SAN JOSE, CA 95116(408) 259-5000 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sun Surgical Dental Group NPPES

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

SUN SURGICAL DENTAL GROUP (NPI 1104697531), doing business as Sun Surgical Dental Corporation, is a healthcare organization registered as an oral and maxillofacial surgery in San Jose, California and active in the NPI registry since January 2024. The organization maintains 2 additional practice locations and lists Ho Hyun Brian Sun, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104697531
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSUN SURGICAL DENTAL GROUP
Location Address225 N JACKSON AVESan Jose, CA 95116-1603
Mailing AddressPo Box 2062Dublin, CA 94568-0206
Organization SubpartNo
Authorized OfficialHo Hyun Brian SunChief Executive Officer · (408) 413-2043
Enumeration DateJanuary 15, 2024
Last NPPES UpdateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
NPI 1104697531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
225 N JACKSON AVE, San Jose, CA 95116

Other Names 1

Former Legal Business NameSun Surgical Dental Corporation

Secondary Practice Locations 2

Location 1875 Blake Wilbur DrPalo Alto, CA 94304-2205 · Phone (408) 413-2043
Location 2700 Lawrence ExpySanta Clara, CA 95051-5173 · Phone (408) 413-2043

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Critical Care Medicine)
225 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
225 N JACKSON AVE
SAN JOSE, CA 95116
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Emergency Medicine
225 N JACKSON AVE
SAN JOSE, CA 95116
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
225 N JACKSON AVE, PHARMACY DEPARTMENT
SAN JOSE, CA 95116
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116

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 Sun Surgical Dental Group's NPI number?

The NPI number for Sun Surgical Dental Group is 1104697531. It was assigned to this organization in the NPPES registry on January 15, 2024. The provider was formerly known as Sun Surgical Dental Corporation.

Where is Sun Surgical Dental Group located?

Sun Surgical Dental Group is located at 225 N Jackson Ave, San Jose, CA 95116. The listed phone number is (408) 259-5000.

What is Sun Surgical Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Sun Surgical Dental Group was last updated on August 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.