Individual provider · Type 1 NPI

Misty Autumn Henne-Bhullar, DMD

General Practice Dentistry · San Jose, CA

NPI number 1083130538 Active

Practice location

1660 Willow St Ste 7
San Jose, CA 95125-5101

Call (669) 222-8315 Map

Mailing address

18693 Carriage Hill Dr
San Jose, CA 95120-1017

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	101918 (CA)

General Practice Dentistry: 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.

3 other providers at this address

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About NPI 1083130538

Misty Autumn Henne-Bhullar, DMD's National Provider Identifier is 1083130538, issued on Aug 16, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Jose, CA. The record was last updated on Oct 17, 2025.