Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter D Nguyen, DDS, Professional Dental Corp

Organization Dentist · NPI 1881017812

Peter D Nguyen, DDS, Professional Dental Corp provides Dentist services in San Jose, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

88 Tully Rd Ste 112
San Jose, CA 95111-1923 Not confirmed with CMS for 12 years — call before visiting
Phone: (408) 888-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 58300 (CA)

Record details

NPI number1881017812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Nguyen — President · (408) 888-1787
NPI enumeratedJanuary 27, 2014
Last updated in NPPESJanuary 27, 2014
Mailing address3415 Ambum Ave, San Jose, CA 95148-2802

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