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General NPI Number Information
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NPI Number | 1063367878
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Entity Type | Organization
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Legal Business Name | TIMOTHY THOAI NGUYEN DDS INC.
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 991 MONTAGUE EXPRESSWAY, SUITE 102
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City | MILPITAS
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State | CA
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Zip | 95035
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Country | US
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Telephone | 408-946-6666
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Fax | 669-900-4289
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Provider Business Mailing Address
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Address Line | 991 MONTAGUE EXPRESSWAY, SUITE 102
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City | MILPITAS
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State | CA
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Zip | 95035
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Country | US
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Telephone | 408-946-6666
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Fax | 669-900-4289
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Authorized Official
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Title or Position | ORAL AND MAXILLOFACIAL SURGEON
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Name | TIMOTHY THOAI NGUYEN
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Credential | D.D.S.
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Telephone | 408-946-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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