Provider Demographics
NPI:1164613501
Name:NGUYEN, THUY T (DDS)
Entity Type:Individual
Prefix:
First Name:THUY
Middle Name:T
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 1:44 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2331
Mailing Address - Country:US
Mailing Address - Phone:917-576-0233
Mailing Address - Fax:
Practice Address - Street 1:813 WILLIAMS ST
Practice Address - Street 2:SUITE 210
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-2065
Practice Address - Country:US
Practice Address - Phone:413-567-6202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA218801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice