MEDICARE: NGOCDUNG 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	50659	CA

General Provider Information

NPI Number	:	1295874303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NGOCDUNG NGUYEN D.D.S

Provider Business Mailing Address
First Line	:	5150 GRAVES AVE STE 11E
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-5014
Country	:	US
Telephone Number	:	408-873-7737
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 GRAVES AVE STE 11E
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-5014
Country	:	US
Telephone Number	:	408-873-7737
Fax Number	:

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1992929616 — DR. MI RAN PARK M.D.
Practice Location Address:

5150 GRAVES AVE. , SUITE 11B
SAN JOSE, CA
95129-5014

Practice Phone: 408-293-0800
Practice Fax: 408-293-0801

1497973465 — DR. GARY ENGELKING DDS, MS
Practice Location Address:

5150 GRAVES AVE STE 11F
SAN JOSE, CA
95129-5014

Practice Phone: 408-253-4880
Practice Fax:

1295128585 — HAO RONG DDS INC
Practice Location Address:

5150 GRAVES AVE STE 11A
SAN JOSE, CA
95129-5014

Practice Phone: 408-753-9955
Practice Fax:

1588139752 — MICHAEL N NGUYEN DMD
Practice Location Address:

5150 GRAVES AVE STE 11A
SAN JOSE, CA
95129-5014

Practice Phone: 408-753-9955
Practice Fax:

1093319873 — CARE SLEEP CLINIC INC.
Practice Location Address:

5150 GRAVES AVE STE 11F
SAN JOSE, CA
95129-5014

Practice Phone: 408-930-5238
Practice Fax: 408-564-7468

Directions to “ NGOCDUNG NGUYEN D.D.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.