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NPI Code Detail

MEDICARE: LILY NGUYEN RDH

MEDICARE:   LILY  NGUYEN  RDH
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
1124Q00000XDental HygienistDH90895MA

General Provider Information

NPI Number : 1760354120
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILY NGUYEN RDH
Provider Business Mailing Address
First Line : 1 PINERIDGE RD
Second Line :
City : MILLBURY
State : MA
Zip : 01527-3423
Country : US
Telephone Number : 508-498-4406
Fax Number :
Provider Business Practice Location Address
First Line : 2 WESLEYAN TER
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-2933
Country : US
Telephone Number : 508-425-3668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2025
Last Update Date : 09/23/2025

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