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General NPI Number Information
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NPI Number | 1740980440
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Entity Type | Individual
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Provider Name | RICHARD NGUYEN DDS
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Gender | Male
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Dates
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Enumeration Date | 03/09/2023
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 2401 128TH ST
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City | URBANDALE
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State | IA
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Zip | 50323-1816
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Country | US
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Telephone | 515-827-0913
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Fax |
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Provider Business Mailing Address
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Address Line | 5031 TIMBERWOOD CT
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City | WEST DES MOINES
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State | IA
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Zip | 50265-5456
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Country | US
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Telephone | 402-301-4383
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DDS-10421
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License Number State | IA
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