San Bruno Ave Dental Clinic Corp
NPI 1639228950 · General Practice Dentistry · San Francisco, CA
San Bruno Ave Dental Clinic Corp is a General Practice Dentistry organization in San Francisco, CA (NPI 1639228950).
Provider details
- NPI number
- 1639228950
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Justin Tin, Senior Dentist(415) 656-2868
- License
- B37744 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is San Bruno Ave Dental Clinic Corp's NPI number?
- San Bruno Ave Dental Clinic Corp's National Provider Identifier (NPI) is 1639228950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Bruno Ave Dental Clinic Corp?
- San Bruno Ave Dental Clinic Corp is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is San Bruno Ave Dental Clinic Corp located?
- San Bruno Ave Dental Clinic Corp's practice location on file with NPPES is 2817 San Bruno Ave, San Francisco, CA 94134-1510.
- What is San Bruno Ave Dental Clinic Corp's phone number?
- The practice phone number listed in the NPPES registry for San Bruno Ave Dental Clinic Corp is (415) 656-2868.
- Who is the authorized official for San Bruno Ave Dental Clinic Corp?
- The authorized official listed on San Bruno Ave Dental Clinic Corp's NPPES record is Justin Tin, Senior Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Bruno Ave Dental Clinic Corp's NPI active?
- Yes — San Bruno Ave Dental Clinic Corp's NPI (1639228950) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.