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NPI Code Detail

MEDICARE: NANCY NGUYEN DMD INC.

MEDICARE: NANCY NGUYEN DMD INC.
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 Dentistry

General Provider Information

NPI Number : 1851255053
Entity Type Code : Organization
Provider Name (Legal Business Name) : NANCY NGUYEN DMD INC.
Provider Business Mailing Address
First Line : 5500 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-1307
Country : US
Telephone Number : 773-459-6965
Fax Number :
Provider Business Practice Location Address
First Line : 834 W MONTROSE AVE STE 101
Second Line :
City : CHICAGO
State : IL
Zip : 60613-1997
Country : US
Telephone Number : 773-989-9160
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NANCY NGUYEN
Credential : DMD
Telephone Number : 773-459-6965
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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