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NPI Code Detail

MEDICARE: TIFFANY H NGUYEN DDS

MEDICARE:   TIFFANY H 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
11223G0001XGeneral Practice Dentistry103093CA

General Provider Information

NPI Number : 1649719170
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY H NGUYEN DDS
Provider Business Mailing Address
First Line : 2391 MONROE ST
Second Line :
City : SANTA CLARA
State : CA
Zip : 95051-1831
Country : US
Telephone Number : 408-332-7954
Fax Number :
Provider Business Practice Location Address
First Line : 26 WEST PORTAL AVE SUITE #4
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94127-4211
Country : US
Telephone Number : 415-604-9292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2017
Last Update Date : 07/24/2025

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Directions to “ TIFFANY H NGUYEN DDS” Practice Location

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