Provider Demographics
NPI:1265504161
Name:NGUYEN, JOANNE ANH (DMD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:ANH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 E. HORIZON RIDGE PKWY.
Mailing Address - Street 2:STE. 150
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002
Mailing Address - Country:US
Mailing Address - Phone:702-566-5509
Mailing Address - Fax:
Practice Address - Street 1:70 E. HORIZON RIDGE PKWY.
Practice Address - Street 2:STE. 150
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002
Practice Address - Country:US
Practice Address - Phone:702-566-5509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV43361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice