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NPI Code Detail

MEDICARE: DR. HONGPHUC THI NGUYEN D.D.S.

MEDICARE:  DR. HONGPHUC THI 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
11223G0001XGeneral Practice Dentistry4486NV

General Provider Information

NPI Number : 1659591436
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HONGPHUC THI NGUYEN D.D.S.
Provider Business Mailing Address
First Line : 4610 E SUNSET RD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-2202
Country : US
Telephone Number : 702-515-0700
Fax Number : 702-433-0021
Provider Business Practice Location Address
First Line : 4610 E SUNSET RD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-2202
Country : US
Telephone Number : 702-515-0700
Fax Number : 702-433-0021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/08/2007

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Directions to “ DR. HONGPHUC THI NGUYEN D.D.S.” Practice Location

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