Provider Demographics
NPI:1255825527
Name:NGUYEN, KIMBERLY THUY-HOA (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:THUY-HOA
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 HOUSE WREN LOOP
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3810
Mailing Address - Country:US
Mailing Address - Phone:512-466-9995
Mailing Address - Fax:
Practice Address - Street 1:9901 BRODIE LN STE 130
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5889
Practice Address - Country:US
Practice Address - Phone:737-203-8538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX337301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1223G0001XDental ProvidersDentistGeneral Practice