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NPI Code Detail

MEDICARE: ALEXANDER HUY HUY NGUYEN DMD

MEDICARE: ALEXANDER HUY HUY 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 Dentistry7269LA

General Provider Information

NPI Number : 1497427298
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER HUY HUY NGUYEN DMD
Provider Business Mailing Address
First Line : 557 OAK GLEN DR
Second Line :
City : GRETNA
State : LA
Zip : 70056-3982
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4243 AMBASSADOR CAFFERY PKWY STE 118
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-7268
Country : US
Telephone Number : 337-422-3587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2021
Last Update Date : 09/30/2021

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