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EDENVALE DENTAL GROUP
NPI 1639322688
Dentist - General Practice in San Jose, CA

Active since November 03, 2008
120 BLOSSOM HILL RD, SUITE 20, SAN JOSE, CA 95123(408) 225-5883(408) 225-8650 Get Directions Write a Review

NPPES record last updated: November 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edenvale Dental Group NPPES

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

EDENVALE DENTAL GROUP (NPI 1639322688) is a healthcare organization registered as a general practice in San Jose, California and active in the NPI registry since November 2008. The organization lists Mindi Chau Thai, Co-owner, President, as its authorized official.

NPPES Registry Identity

NPI1639322688
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMINDI THAI, DDS & KIMDUNG TRACY TRAN, DDS, A DENTAL CORPORATION
Location Address120 BLOSSOM HILL RD, SUITE 20San Jose, CA 95123-2302
Mailing Address120 Blossom Hill Rd, Suite 20San Jose, CA 95123-2302 · (408) 225-5883 · Fax (408) 225-8650
Phone(408) 225-5883
Fax(408) 225-8650
Organization SubpartNo
Authorized OfficialMindi Chau ThaiCo-owner, President · (408) 225-5883
Enumeration DateNovember 3, 2008
✔ NPI 1639322688 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 · 49010
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.

120 BLOSSOM HILL RD, San Jose, CA 95123
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Other Names 1

Doing Business AsEdenvale Dental Group

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 2

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

AN GIANG DDS
Dentist (General Practice)
120 BLOSSOM HILL RD, SUITE 20
SAN JOSE, CA 95123
Santa Clara County (408) 225-5883
DR. MINDI CHAU THAI DDS
Dentist (General Practice)
120 BLOSSOM HILL RD, SUITE 20
SAN JOSE, CA 95123
Santa Clara County (408) 225-5883

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 Mindi Thai, Dds & Kimdung Tracy Tran, Dds, A Dental Corporation's NPI number?

The NPI number for Mindi Thai, Dds & Kimdung Tracy Tran, Dds, A Dental Corporation is 1639322688. It was assigned to this organization in the NPPES registry on November 3, 2008. The provider is doing business as Edenvale Dental Group.

Where is Mindi Thai, Dds & Kimdung Tracy Tran, Dds, A Dental Corporation located?

Mindi Thai, Dds & Kimdung Tracy Tran, Dds, A Dental Corporation is located at 120 Blossom Hill Rd Suite 20, San Jose, CA 95123. The listed phone number is (408) 225-5883.

What is Mindi Thai, Dds & Kimdung Tracy Tran, Dds, A Dental Corporation'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 Mindi Thai, Dds & Kimdung Tracy Tran, Dds, A Dental Corporation was last updated on November 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.