MEDICARE: DR. TUANH NGUYEN DDS, MSD

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	10339	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861794307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TUANH NGUYEN DDS, MSD

Provider Business Mailing Address
First Line	:	10868 E 27TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3221
Country	:	US
Telephone Number	:	303-525-7445
Fax Number	:

Provider Business Practice Location Address
First Line	:	2731 W EVANS AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-5507
Country	:	US
Telephone Number	:	720-636-9828
Fax Number	:

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

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	01/28/2016

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