Healthcare Provider Details

I. General information

NPI: 1255289963
Provider Name (Legal Business Name): DZUY NGUYEN DDS MSD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 OLIVE WAY STE 860
SEATTLE WA
98101-1889
US

IV. Provider business mailing address

720 OLIVE WAY STE 860
SEATTLE WA
98101-1889
US

V. Phone/Fax

Practice location:
  • Phone: 206-521-3636
  • Fax:
Mailing address:
  • Phone: 206-521-3636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DZUY NGUYEN
Title or Position: OWNER/ENDODONTIST
Credential: DDS MSD
Phone: 425-351-0794