Healthcare Provider Details

I. General information

NPI: 1508781238
Provider Name (Legal Business Name): TAM T NGUYEN DDS, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 SILVER CREEK RD STE 180
SAN JOSE CA
95121-1790
US

IV. Provider business mailing address

3005 SILVER CREEK RD STE 180
SAN JOSE CA
95121-1790
US

V. Phone/Fax

Practice location:
  • Phone: 408-528-8628
  • Fax: 408-528-9696
Mailing address:
  • Phone: 408-528-8628
  • Fax: 408-528-9696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: TAM NGUYEN
Title or Position: OWNER/ DENTIST
Credential: DDS
Phone: 408-892-3343