MEDICARE: HARVEY LONG NGUYEN DDS

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	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	41558	TX

General Provider Information

NPI Number	:	1578266243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARVEY LONG NGUYEN DDS

Provider Business Mailing Address
First Line	:	13230 BARROW POINT LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1454
Country	:	US
Telephone Number	:	346-218-1315
Fax Number	:

Provider Business Practice Location Address
First Line	:	8465 MEMORIAL BLVD
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77640-7024
Country	:	US
Telephone Number	:	409-853-3107
Fax Number	:

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

Provider Enumeration Date	:	03/22/2023
Last Update Date	:	07/01/2025

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Directions to “ HARVEY LONG NGUYEN DDS” Practice Location

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