Healthcare Provider Details

I. General information

NPI: 1831995208
Provider Name (Legal Business Name): EMILY THUCDAN HUYNH DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2385 MONTPELIER DR
SAN JOSE CA
95116-1636
US

IV. Provider business mailing address

1333 N HILLVIEW DR
MILPITAS CA
95035-3325
US

V. Phone/Fax

Practice location:
  • Phone: 408-238-1600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number112890
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: