Provider Demographics
NPI:1417004029
Name:NGUYEN, RICHARD HUYNH (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HUYNH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7853 ROESBORO CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-6937
Mailing Address - Country:US
Mailing Address - Phone:916-688-3679
Mailing Address - Fax:916-638-4107
Practice Address - Street 1:2001 ZINFANDEL DR STE B5
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-4265
Practice Address - Country:US
Practice Address - Phone:916-638-5833
Practice Address - Fax:916-638-4107
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA503331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice