Provider Demographics
NPI:1396000196
Name:DINH, NINA THI (DDS)
Entity Type:Individual
Prefix:DR
First Name:NINA
Middle Name:THI
Last Name:DINH
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 1:2707 LEGACY POINT DR APT 633
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-2689
Mailing Address - Country:US
Mailing Address - Phone:817-903-8188
Mailing Address - Fax:
Practice Address - Street 1:4701 S COOPER ST
Practice Address - Street 2:SUITE 103
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5926
Practice Address - Country:US
Practice Address - Phone:817-465-9000
Practice Address - Fax:817-465-9001
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-08
Last Update Date:2012-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28133122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist