Provider Demographics
NPI:1164543427
Name:NGUYEN, DON (DDS)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 W. DUNNE AVE.
Mailing Address - Street 2:#3
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037
Mailing Address - Country:US
Mailing Address - Phone:408-779-7391
Mailing Address - Fax:408-779-5081
Practice Address - Street 1:370 W DUNNE AVE
Practice Address - Street 2:#3
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-4846
Practice Address - Country:US
Practice Address - Phone:408-779-7391
Practice Address - Fax:408-779-5081
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51505122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist