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SAN BRUNO AVE DENTAL CLINIC CORP
NPI 1639228950
Dentist - General Practice in San Francisco, CA

Active since January 09, 2007
2817 SAN BRUNO AVE, SAN FRANCISCO, CA 94134(415) 656-2868(415) 656-2865 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Bruno Ave Dental Clinic Corp NPPES

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

SAN BRUNO AVE DENTAL CLINIC CORP (NPI 1639228950) is a healthcare organization registered as a general practice in San Francisco, California and active in the NPI registry since January 2007. The organization lists Justin Tin, Senior Dentist, as its authorized official.

NPPES Registry Identity

NPI1639228950
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAN BRUNO AVE DENTAL CLINIC CORP
Location Address2817 SAN BRUNO AVESan Francisco, CA 94134-1510
Mailing Address2817 San Bruno AveSan Francisco, CA 94134-1510 · (415) 656-2868 · Fax (415) 656-2865
Phone(415) 656-2868
Fax(415) 656-2865
Organization SubpartNo
Authorized OfficialJustin TinSenior Dentist · (415) 656-2868
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639228950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · B37744
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2817 SAN BRUNO AVE, San Francisco, CA 94134
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. JUSTIN TIN DDS
Dentist
2817 SAN BRUNO AVE
SAN FRANCISCO, CA 94134
San Francisco County (415) 656-2868
DR. HUA FENG KUAN D.D.S.
Dentist (General Practice)
2817 SAN BRUNO AVE
SAN FRANCISCO, CA 94134
San Francisco County (415) 706-7005
DALE ZHENG
Dentist (General Practice)
2817 SAN BRUNO AVE
SAN FRANCISCO, CA 94134
San Francisco County (415) 656-2868

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 San Bruno Ave Dental Clinic Corp's NPI number?

The NPI number for San Bruno Ave Dental Clinic Corp is 1639228950. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is San Bruno Ave Dental Clinic Corp located?

San Bruno Ave Dental Clinic Corp is located at 2817 San Bruno Ave, San Francisco, CA 94134. The listed phone number is (415) 656-2868.

What is San Bruno Ave Dental Clinic Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for San Bruno Ave Dental Clinic Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.