MEDICARE: APRIL 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	1223G0001X	General Practice Dentistry	D5912	AZ

General Provider Information

NPI Number	:	1710939905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL NGUYEN DDS

Provider Business Mailing Address
First Line	:	18330 N 79TH AVE
Second Line	:	1116
City	:	GLENDALE
State	:	AZ
Zip	:	85308-8343
Country	:	US
Telephone Number	:	623-326-2137
Fax Number	:

Provider Business Practice Location Address
First Line	:	3806 N 3RD ST
Second Line	:	100
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2015
Country	:	US
Telephone Number	:	602-277-1088
Fax Number	:	602-277-0552

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/08/2007

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