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NPI Code Detail

MEDICARE: DR. JOHN THAI-HUY NGUYEN D.D.S.

MEDICARE:  DR. JOHN THAI-HUY 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
1122300000XDentist61994CA

General Provider Information

NPI Number : 1518394675
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN THAI-HUY NGUYEN D.D.S.
Provider Business Mailing Address
First Line : 1175 BAKER ST STE A4
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-4139
Country : US
Telephone Number : 714-545-9990
Fax Number : 714-545-7108
Provider Business Practice Location Address
First Line : 1175 BAKER ST STE A4
Second Line :
City : COSTA MESA
State : CA
Zip : 92626
Country : US
Telephone Number : 714-545-9990
Fax Number : 714-545-7108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2013
Last Update Date : 06/10/2026

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Directions to “ DR. JOHN THAI-HUY NGUYEN D.D.S.” Practice Location

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