MEDICARE: DR. DINH DON 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	25059	TX

General Provider Information

NPI Number	:	1912233966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DINH DON NGUYEN DDS

Provider Business Mailing Address
First Line	:	1119 W RANDOL MILL RD
Second Line	:	STE #101
City	:	ARLINGTON
State	:	TX
Zip	:	76012-6509
Country	:	US
Telephone Number	:	682-240-3490
Fax Number	:

Provider Business Practice Location Address
First Line	:	1119 W RANDOL MILL RD
Second Line	:	STE #101
City	:	ARLINGTON
State	:	TX
Zip	:	76012-6509
Country	:	US
Telephone Number	:	682-240-3490
Fax Number	:

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

Provider Enumeration Date	:	10/27/2009
Last Update Date	:	01/08/2014

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