MEDICARE: LINDA T NGUYEN DDS PA

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1861379547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA T NGUYEN DDS PA

Provider Business Mailing Address
First Line	:	609 2ND ST APT 511
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-4526
Country	:	US
Telephone Number	:	561-578-7131
Fax Number	:

Provider Business Practice Location Address
First Line	:	5909 S CONGRESS AVE STE 11
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-1333
Country	:	US
Telephone Number	:	561-578-7131
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LINDA NGUYEN
Credential	:	DDS
Telephone Number	:	561-578-7131

Provider Enumeration Date	:	08/16/2025
Last Update Date	:	08/16/2025

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