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NPI Code Detail

MEDICARE: TIANNA NGUYEN

MEDICARE: TIANNA NGUYEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist112717MS

General Provider Information

NPI Number : 1164355616
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANNA NGUYEN
Provider Business Mailing Address
First Line : 20188 LOVERS LN
Second Line :
City : LONG BEACH
State : MS
Zip : 39560-2502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2574 MARCIA CT
Second Line :
City : BILOXI
State : MS
Zip : 39531-2341
Country : US
Telephone Number : 228-388-9545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ TIANNA NGUYEN ” Practice Location

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