# SUN SURGICAL DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sun Surgical Dental Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104697531
- **Authorized official:** DR. HO HYUN BRIAN SUN DMD, MS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (408) 413-2043

## Contact information

- **Practice address:** 225 N JACKSON AVE, SAN JOSE, CA 95116-1603
- **Practice address phone:** (408) 259-5000
- **Mailing address:** PO BOX 2062, DUBLIN, CA 94568-0206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/15/2024
- **Last updated:** 08/11/2025