MEDICARE: DR. STEVEN THUAT 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
1	1223G0001X	General Practice Dentistry	48758	CA

General Provider Information

NPI Number	:	1235252685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN THUAT NGUYEN D.D.S.

Provider Business Mailing Address
First Line	:	40315 WINCHESTER RD STE C
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92591-5559
Country	:	US
Telephone Number	:	951-304-7881
Fax Number	:	951-304-7882

Provider Business Practice Location Address
First Line	:	506 W GRAHAM AVE STE 205
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92530-3600
Country	:	US
Telephone Number	:	951-674-6853
Fax Number	:	951-674-6854

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	02/01/2025

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