MEDICARE: DR. ALAN T 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	49163	CA

General Provider Information

NPI Number	:	1326136631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN T NGUYEN D.D.S.

Provider Business Mailing Address
First Line	:	2933 THE VILLAGES PKWY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95135-1442
Country	:	US
Telephone Number	:	408-781-6557
Fax Number	:

Provider Business Practice Location Address
First Line	:	2933 THE VILLAGES PKWY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95135-1442
Country	:	US
Telephone Number	:	408-781-6557
Fax Number	:

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	03/06/2026

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