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NPI Code Detail

MEDICARE: DR. TOMMY T NGUYEN DDS

MEDICARE:  DR. TOMMY T NGUYEN  DDS
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 Dentistry8210OK

General Provider Information

NPI Number : 1760329775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TOMMY T NGUYEN DDS
Provider Business Mailing Address
First Line : 8608 NW 116TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-2077
Country : US
Telephone Number : 580-340-9333
Fax Number :
Provider Business Practice Location Address
First Line : 2828 NW 30TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-7404
Country : US
Telephone Number : 405-945-8941
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2026
Last Update Date : 04/29/2026

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Directions to “ DR. TOMMY T NGUYEN DDS” Practice Location

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