NPI Code Details Logo

NPI 1811482656

NPI 1811482656 : CHI NGUYEN DMD : ORLANDO, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1811482656
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHI NGUYEN DMD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/25/2018
-----------------------------------------------------
    Last Update Date     |    02/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4401 S ORANGE AVE STE 106 
-----------------------------------------------------
    City                 |    ORLANDO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32806-6968
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    407-851-2255
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2007 PANORAMIC CIR 
-----------------------------------------------------
    City                 |    APOPKA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32703-9260
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    609-741-1793
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    DN23511
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.