MEDICARE: DR. PETER D NGUYEN D.D.S

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
1	1223G0001X	General Practice Dentistry	D8641	OR

General Provider Information

NPI Number	:	1710022231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER D NGUYEN D.D.S

Provider Business Mailing Address
First Line	:	1880 LANCASTER DR NE STE 104
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97305-1040
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1880 LANCASTER DR NE STE 104
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97305-1040
Country	:	US
Telephone Number	:	503-587-9949
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1205981511 — DR. GARY DAHLSTROM D.O.
Practice Location Address:

1880 LANCASTER DR NE STE 103
SALEM, OR
97305-1040

Practice Phone: 503-585-4131
Practice Fax:

1053543827 — MS. TANYA MARIE TOVER LMT
Practice Location Address:

1880 LANCASTER DR NE STE 101
SALEM, OR
97305-1040

Practice Phone: 503-362-1002
Practice Fax:

1720537814 — BRADLEY K BUSEY II FNPC
Practice Location Address:

1880 LANCASTER DR NE STE 104
SALEM, OR
97305-1040

Practice Phone: 971-273-0679
Practice Fax:

1326589771 — SAINT MOSCATI COMMUNITY HEALTH CARE
Practice Location Address:

1880 LANCASTER DR NE STE 104
SALEM, OR
97305-1040

Practice Phone: 971-273-0679
Practice Fax: 503-961-0794

1962380980 — MILTON ARMANDO VILLALOBOS FNP-C
Practice Location Address:

1880 LANCASTER DR NE STE 104
SALEM, OR
97305-1040

Practice Phone: 971-273-0679
Practice Fax: 503-961-0794

1184595241 — LOAN NGUYEN WADE
Practice Location Address:

1880 LANCASTER DR NE STE 104
SALEM, OR
97305-1040

Practice Phone: 971-273-0679
Practice Fax: 503-961-0794

Directions to “ DR. PETER D NGUYEN D.D.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.