Provider Demographics
NPI:1073632089
Name:NGUYEN, TUYET-VAN THI (DDS)
Entity Type:Individual
Prefix:DR
First Name:TUYET-VAN
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4441
Mailing Address - Country:US
Mailing Address - Phone:972-814-9244
Mailing Address - Fax:214-292-9311
Practice Address - Street 1:1421 SHILOH RD STE 270
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-4356
Practice Address - Country:US
Practice Address - Phone:972-516-2288
Practice Address - Fax:972-516-2290
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice