Healthcare Provider Details

I. General information

NPI: 1891947701
Provider Name (Legal Business Name): DANH MANH NGUYEN DMD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 ALAFAYA WOODS BLVD
OVIEDO FL
32765-6235
US

IV. Provider business mailing address

83 ALAFAYA WOODS BLVD
OVIEDO FL
32765-6235
US

V. Phone/Fax

Practice location:
  • Phone: 407-542-0938
  • Fax:
Mailing address:
  • Phone: 407-542-0938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN 17556
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: