1. Home
  2. Directory
  3. California
  4. San Leandro
  5. Dentist
  6. NPI Profile

SL DENTAL SPECIALTY GROUP
NPI 1285161323
Dentist in San Leandro, CA

Active since May 19, 2017
1436 CLARKE ST, SAN LEANDRO, CA 94577(415) 987-0260 Get Directions Write a Review

NPPES record last updated: May 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sl Dental Specialty Group NPPES

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

SL DENTAL SPECIALTY GROUP (NPI 1285161323) is a healthcare organization registered as a dentist in San Leandro, California and active in the NPI registry since May 2017. The organization lists Justin Tin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285161323
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTIN DENTAL SPECIALTY GROUP A PROFESSIONAL DENTAL CORP
Location Address1436 CLARKE STSan Leandro, CA 94577-3635
Mailing Address1436 Clarke StSan Leandro, CA 94577-3635
Phone(415) 987-0260
Organization SubpartNo
Authorized OfficialJustin TinCeo · (415) 218-3866
Enumeration DateMay 19, 2017
✔ NPI 1285161323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1436 CLARKE ST, San Leandro, CA 94577
Open in Google Maps ↗

Other Names 1

Doing Business AsSl Dental Specialty Group

Other Identifiers 1

Other37744CA · Dentical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JASMINE DARRYL FORTUNA DMD
Dentist (General Practice)
1436 CLARKE ST
SAN LEANDRO, CA 94577
Alameda County (510) 939-7246

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 Tin Dental Specialty Group A Professional Dental Corp's NPI number?

The NPI number for Tin Dental Specialty Group A Professional Dental Corp is 1285161323. It was assigned to this organization in the NPPES registry on May 19, 2017. The provider is doing business as Sl Dental Specialty Group.

Where is Tin Dental Specialty Group A Professional Dental Corp located?

Tin Dental Specialty Group A Professional Dental Corp is located at 1436 Clarke St, San Leandro, CA 94577. The listed phone number is (415) 987-0260.

What is Tin Dental Specialty Group A Professional Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Tin Dental Specialty Group A Professional Dental Corp was last updated on May 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.