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NPI Code Detail

MEDICARE: DR. MINHLY DUY NGUYEN D.D.S.

MEDICARE: DR. MINHLY DUY NGUYEN D.D.S.
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
11223G0001XGeneral Practice Dentistry21485TX
21223S0112XOral and Maxillofacial Surgery (Dentist)21485TX
31223X0400XOrthodontics and Dentofacial Orthopedics Dentistry21485TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194982991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MINHLY DUY NGUYEN D.D.S.
Provider Business Mailing Address
First Line : 12125 HIGHWAY 6 STE D
Second Line :
City : FRESNO
State : TX
Zip : 77545-8844
Country : US
Telephone Number : 281-431-8909
Fax Number : 281-431-8985
Provider Business Practice Location Address
First Line : 12125 HIGHWAY 6 STE D
Second Line :
City : FRESNO
State : TX
Zip : 77545-8844
Country : US
Telephone Number : 281-431-8909
Fax Number : 281-431-8985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2008
Last Update Date : 05/20/2008

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