Organization · Type 2 NPI

Sun Surgical Dental Group

Oral and Maxillofacial Surgery (Dentist) · San Jose, CA

NPI number 1104697531 Active

Practice location

225 N Jackson Ave
San Jose, CA 95116-1603

Mailing address

PO Box 2062
Dublin, CA 94568-0206

Other practice locations

  • 700 Lawrence Expy, Santa Clara, CA 95051-5173 · (408) 413-2043
  • 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 · (408) 413-2043

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XNone listed
Oral and Maxillofacial Surgery Clinic/Center 261QS0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1104697531

Sun Surgical Dental Group's National Provider Identifier is 1104697531, issued on Jan 15, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Jose, CA. The record was last updated on Aug 11, 2025.