MEDICARE: DR. MYKHUE NGUYEN-TRAN DMD

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	DN25334	FL

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	:	1891306213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MYKHUE NGUYEN-TRAN DMD

Provider Business Mailing Address
First Line	:	216 SE CORRECTIONS WAY
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-2013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 SE CORRECTIONS WAY
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-2013
Country	:	US
Telephone Number	:	386-754-7600
Fax Number	:

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

Provider Enumeration Date	:	08/10/2020
Last Update Date	:	08/08/2025

Similar Medicare Providers

1952560559 — EDWARD NELSON MORSE DMD
Practice Location Address:

216 SE CORRECTIONS WAY
LAKE CITY, FL
32025-2013

Practice Phone: 386-292-7016
Practice Fax:

1154907327 — MS. TERNITA LASHARNE SMITH PMHNP-BC
Practice Location Address:

216 SE CORRECTIONS WAY
LAKE CITY, FL
32025-2013

Practice Phone: 386-754-7600
Practice Fax:

1083370704 — KRISTYN ANN FAIRCLOTH LCSW
Practice Location Address:

216 SE CORRECTIONS WAY
LAKE CITY, FL
32025-2013

Practice Phone: 386-292-7198
Practice Fax:

1225885890 — ALDEN ANN MUSTARD PA-C
Practice Location Address:

216 SE CORRECTIONS WAY
LAKE CITY, FL
32025-2013

Practice Phone: 386-292-7054
Practice Fax:

1548351364 — JOHN F BERMEN JR. MD
Practice Location Address:

3465 S 4155 WEST , SUITE 5
SALT LAKE CITY, UT
84120-2013

Practice Phone: 801-967-0282
Practice Fax: 801-967-0565

1306084033 — DR. GARY MILLS STEPHENSON M.D.
Practice Location Address:

150 S 300 E , # 207
SALT LAKE CITY, UT
84111-2013

Practice Phone: 801-521-3055
Practice Fax:

Directions to “ DR. MYKHUE NGUYEN-TRAN DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.