MEDICARE: DR. STEVE H NGUYEN DMD

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	3778	NV

General Provider Information

NPI Number	:	1871730788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVE H NGUYEN DMD

Provider Business Mailing Address
First Line	:	5575 SIMMONS ST STE 10
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-9008
Country	:	US
Telephone Number	:	702-317-7767
Fax Number	:	702-310-5838

Provider Business Practice Location Address
First Line	:	5575 SIMMONS ST STE 10
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-9008
Country	:	US
Telephone Number	:	702-317-7767
Fax Number	:	702-310-5838

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

Provider Enumeration Date	:	01/14/2009
Last Update Date	:	01/14/2009

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