MEDICARE: DR. HONG 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	122300000X	Dentist	6893	NV

General Provider Information

NPI Number	:	1760837033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HONG NGUYEN DDS

Provider Business Mailing Address
First Line	:	2510 WIGWAM PKWY STE 204
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7116
Country	:	US
Telephone Number	:	702-263-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 WIGWAM PKWY STE 204
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7116
Country	:	US
Telephone Number	:	702-263-8400
Fax Number	:

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

Provider Enumeration Date	:	04/25/2016
Last Update Date	:	12/28/2023

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