MEDICARE: PHUC 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	122300000X	Dentist	55268	CA

General Provider Information

NPI Number	:	1891938692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHUC NGUYEN DDS

Provider Business Mailing Address
First Line	:	1724 INDIGO OAK LN
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1984
Country	:	US
Telephone Number	:	408-826-1905
Fax Number	:

Provider Business Practice Location Address
First Line	:	1724 INDIGO OAK LN
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1984
Country	:	US
Telephone Number	:	408-826-1905
Fax Number	:

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

Provider Enumeration Date	:	04/09/2009
Last Update Date	:	04/09/2009

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1104944172 — DR. NA YOUNG AHN D.D.S
Practice Location Address:

1984 FOXWORTHY AVE
SAN JOSE, CA
95124-1509

Practice Phone: 408-377-2225
Practice Fax: 408-377-2226

1639110141 — A. R. E. PHARMCARE
Practice Location Address:

5419 BANDERA RD , 707
SAN ANTONIO, TX
78238-1984

Practice Phone: 210-520-9595
Practice Fax: 210-520-9901

1629596366 — CAROL JABASA RDN
Practice Location Address:

4030 PORTE LA PAZ UNIT 85
SAN DIEGO, CA
92122-1984

Practice Phone: 858-453-2364
Practice Fax:

1083610067 — DR. LANCHI PHAM D.D.S
Practice Location Address:

3005 SILVER CREEK RD , STE 146
SAN JOSE, CA
95121-1789

Practice Phone: 408-238-7900
Practice Fax: 408-238-7909

1982602710 — DR. TUAN LE M.D.
Practice Location Address:

1569 LEXANN AVE , SUITE 122
SAN JOSE, CA
95121-1794

Practice Phone: 408-531-1555
Practice Fax: 408-274-5799

Directions to “ PHUC NGUYEN DDS” 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.