Provider Demographics
NPI:1427183953
Name:NGUYEN, THONG HUU (DDS)
Entity Type:Individual
Prefix:DR
First Name:THONG
Middle Name:HUU
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 1:2381 E WINDMILL LN
Mailing Address - Street 2:SUITE 11
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2068
Mailing Address - Country:US
Mailing Address - Phone:702-877-2378
Mailing Address - Fax:702-871-2378
Practice Address - Street 1:2381 E WINDMILL LN
Practice Address - Street 2:SUITE 11
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2068
Practice Address - Country:US
Practice Address - Phone:702-877-2378
Practice Address - Fax:702-871-2378
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4837T1223G0001X
CA469101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice