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NPI Code Detail

MEDICARE: DR. MICHAEL NGUYEN DMD

MEDICARE: DR. MICHAEL NGUYEN DMD
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 DentistryDEN.00203299CO

General Provider Information

NPI Number : 1508382045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL NGUYEN DMD
Provider Business Mailing Address
First Line : 7240 W CUSTER AVE UNIT 408
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-2779
Country : US
Telephone Number : 316-210-3115
Fax Number :
Provider Business Practice Location Address
First Line : 8749 WADSWORTH BLVD
Second Line :
City : ARVADA
State : CO
Zip : 80003-0907
Country : US
Telephone Number : 303-424-5463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2017
Last Update Date : 08/16/2017

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Directions to “ DR. MICHAEL NGUYEN DMD” Practice Location

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