Provider Demographics
NPI:1467514042
Name:NGUYEN, ANH-TUYET T (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANH-TUYET
Middle Name:T
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 1:825 SHADYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4454
Mailing Address - Country:US
Mailing Address - Phone:408-608-9231
Mailing Address - Fax:
Practice Address - Street 1:780 E CENTERVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-4640
Practice Address - Country:US
Practice Address - Phone:188-884-4476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24321122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist