Healthcare Provider Details

I. General information

NPI: 1487574125
Provider Name (Legal Business Name): LINH DO-THUY NGUYEN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINH DO-THUY NGUYEN-PECZE DDS

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6202 EVANSTON AVE
INDIANAPOLIS IN
46220-2100
US

IV. Provider business mailing address

1476 PARNELL DR APT 302
WESTFIELD IN
46074-9921
US

V. Phone/Fax

Practice location:
  • Phone: 317-251-0085
  • Fax:
Mailing address:
  • Phone: 806-584-3410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number12015101A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: