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NPI Code Detail

MEDICARE: DR. TAI NGUYEN DMD

MEDICARE:  DR. TAI  NGUYEN  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry34460TX

General Provider Information

NPI Number : 1356823355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAI NGUYEN DMD
Provider Business Mailing Address
First Line : 2218 DIAMOND OAKS DR
Second Line :
City : GARLAND
State : TX
Zip : 75044-7858
Country : US
Telephone Number : 717-813-6715
Fax Number :
Provider Business Practice Location Address
First Line : 7120 COIT RD STE 110
Second Line :
City : PLANO
State : TX
Zip : 75025-2097
Country : US
Telephone Number : 915-525-1570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2018
Last Update Date : 02/05/2021

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Directions to “ DR. TAI NGUYEN DMD” Practice Location

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