Provider Demographics
NPI:1003405507
Name:CYNDI NGUYEN OMFS LLC
Entity Type:Organization
Organization Name:CYNDI NGUYEN OMFS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNDI
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:855-547-3746
Mailing Address - Street 1:1000 LINCOLN DRIVE EAST
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:855-547-3746
Mailing Address - Fax:856-439-6516
Practice Address - Street 1:1000 LINCOLN DRIVE EAST
Practice Address - Street 2:SUITE 3A
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:855-547-3746
Practice Address - Fax:856-439-6516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty