MEDICARE: HUY NGOC 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
1	122300000X	Dentist	57778	CA

General Provider Information

NPI Number	:	1780829044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUY NGOC NGUYEN D.D.S.

Provider Business Mailing Address
First Line	:	1305 CARRISON ST APT B
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94702-2411
Country	:	US
Telephone Number	:	716-465-1405
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 CARRISON ST APT B
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94702-2411
Country	:	US
Telephone Number	:	716-465-1405
Fax Number	:

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

Provider Enumeration Date	:	12/15/2008
Last Update Date	:	12/15/2008

Similar Medicare Providers

1770761538 — DR. MARY BETH THOMSEN PH.D.
Practice Location Address:

2321 6TH ST
BERKELEY, CA
94710-2411

Practice Phone: 510-883-9230
Practice Fax:

1295176154 — LAURA BAI DNP, FNP-BC
Practice Location Address:

149 EMERSON LN
BERKELEY HEIGHTS, NJ
07922-2411

Practice Phone: 908-963-2547
Practice Fax:

1831852011 — KRISTINA MARIE MODESTE LMFT
Practice Location Address:

3220 SACRAMENTO ST
BERKELEY, CA
94702-2726

Practice Phone: 669-234-8196
Practice Fax:

1134086150 — BAY AREA TRAUMA RECOVERY CLINICAL SERVICES
Practice Location Address:

3220 SACRAMENTO ST STE A
BERKELEY, CA
94702-2726

Practice Phone: 510-660-1493
Practice Fax:

1366445470 — NATALIE MARSHALL M.D.
Practice Location Address:

3100 SAN PABLO AVE. , SUITE 430
BERKELEY, CA
94702

Practice Phone: 510-420-8000
Practice Fax: 510-985-5202

1689670002 — LIFELONG MEDICAL CARE
Practice Location Address:

3260 SACRAMENTO ST
BERKELEY, CA
94702-2739

Practice Phone: 510-428-4500
Practice Fax:

Directions to “ HUY NGOC NGUYEN D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.