Healthcare Provider Details

I. General information

NPI: 1518266949
Provider Name (Legal Business Name): SHEILA NGUYEN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2011
Last Update Date: 07/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 PARNASSUS AVE BOX 0753
SAN FRANCISCO CA
94143-0001
US

IV. Provider business mailing address

707 PARNASSUS AVE BOX 0753
SAN FRANCISCO CA
94143-0001
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-3276
  • Fax: 415-514-2561
Mailing address:
  • Phone: 415-476-3276
  • Fax: 415-514-2561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number159
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number61173
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: