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NPI Code Detail

MEDICARE: CHI K NGUYEN DMD PA

MEDICARE: CHI K NGUYEN DMD PA
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 Dentistry

General Provider Information

NPI Number : 1235841073
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHI K NGUYEN DMD PA
Provider Business Mailing Address
First Line : 5265 PARK BLVD N STE 100
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-3451
Country : US
Telephone Number : 727-545-9590
Fax Number :
Provider Business Practice Location Address
First Line : 5265 PARK BLVD N STE 100
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-3451
Country : US
Telephone Number : 727-545-9590
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : CHI KIM NGUYEN
Credential : DMD
Telephone Number : 813-476-9551
Provider Enumeration Date : 12/22/2022
Last Update Date : 12/22/2022

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Practice Location Address:
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PINELLAS PARK, FL
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Practice Phone: 727-545-9590
Practice Fax: 727-548-8590
1194761510 — DR. LINH BAO NGUYEN M.D.
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1558575589 — DR. CHI KIM NGUYEN D.M.D.
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1942418165 — CHI K. NGUYEN, DMD, PA
Practice Location Address:
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1598303984 — DR. GILBERTO ALVAREZ MD
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1215563556 — MICA BORGUETA DMD
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Directions to “CHI K NGUYEN DMD PA ” Practice Location

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