1692 Tully Dentistry
NPI 1649406133ActiveOrganization· Dentist· San Jose, CA
Dentist in San Jose, California, registered in NPPES in June 2009. The authorized official on file is Phung Kim Nguyen, Dentist.
Overview
| NPI | 1649406133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2009 |
| Last updated in NPPES | Jun 10, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 44749 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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