OrganizationActive
1692 Tully Dentistry
NPI 1649406133 · Dentist · San Jose, CA
1692 Tully Dentistry is a Dentist organization in San Jose, CA (NPI 1649406133).
Provider details
- NPI number
- 1649406133
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Phung Nguyen, Dentist(408) 279-2114
- License
- 44749 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
2114 Senior Road
Suite 25
San Jose, CA 95112
Phone: (408) 279-2114
Fax: (408) 279-1828
Approximate (ZIP-level) locationGet directions
Mailing address
1692 Tully Road
San Jose, CA 95122
Registry dates
- Enumerated
- 2009-06-10
- Last updated
- 2009-06-10
Frequently asked questions
- What is 1692 Tully Dentistry's NPI number?
- 1692 Tully Dentistry's National Provider Identifier (NPI) is 1649406133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1692 Tully Dentistry?
- 1692 Tully Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is 1692 Tully Dentistry located?
- 1692 Tully Dentistry's practice location on file with NPPES is 2114 Senior Road, San Jose, CA 95112.
- What is 1692 Tully Dentistry's phone number?
- The practice phone number listed in the NPPES registry for 1692 Tully Dentistry is (408) 279-2114.
- Who is the authorized official for 1692 Tully Dentistry?
- The authorized official listed on 1692 Tully Dentistry's NPPES record is Phung Nguyen, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1692 Tully Dentistry's NPI active?
- Yes — 1692 Tully Dentistry's NPI (1649406133) is active in the NPPES registry as of the last update on 2009-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.