Provider Demographics
NPI:1093407207
Name:NGUYEN, AUSTIN TOAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:TOAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5329 LEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-5618
Mailing Address - Country:US
Mailing Address - Phone:408-647-0994
Mailing Address - Fax:
Practice Address - Street 1:5329 LEIGH AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-5618
Practice Address - Country:US
Practice Address - Phone:408-647-0994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program