MEDICARE: TIFFANY NGOC CHAU 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
1	1223G0001X	General Practice Dentistry	42562	TX

General Provider Information

NPI Number	:	1770400871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY NGOC CHAU NGUYEN DDS

Provider Business Mailing Address
First Line	:	1718 FERNDALE LAKE CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-6990
Country	:	US
Telephone Number	:	281-673-9246
Fax Number	:

Provider Business Practice Location Address
First Line	:	1718 FERNDALE LAKE CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-6990
Country	:	US
Telephone Number	:	281-673-9246
Fax Number	:

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

Provider Enumeration Date	:	07/01/2026
Last Update Date	:	07/01/2026

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