Healthcare Provider Details

I. General information

NPI: 1699689471
Provider Name (Legal Business Name): AUSTIN NGUYEN DMD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 SILVER CREEK RD #146
SAN JOSE CA
95121
US

IV. Provider business mailing address

3005 SILVER CREEK RD #146
SAN JOSE CA
95121
US

V. Phone/Fax

Practice location:
  • Phone: 408-647-0994
  • Fax:
Mailing address:
  • Phone: 408-647-0994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. AUSTIN NGUYEN
Title or Position: OWNER DENTIST
Credential: DMD
Phone: 408-647-0994