Provider Demographics
NPI:1326391871
Name:NGUYEN, STEVEN JAMES (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JAMES
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 1:20241 MORRISTOWN CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-5320
Mailing Address - Country:US
Mailing Address - Phone:702-445-2156
Mailing Address - Fax:
Practice Address - Street 1:9506 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-8074
Practice Address - Country:US
Practice Address - Phone:657-329-4100
Practice Address - Fax:714-908-7728
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47397122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist