Provider Demographics
NPI:1467591933
Name:NGUYEN, BICHTHUY (DDS)
Entity Type:Individual
Prefix:DR
First Name:BICHTHUY
Middle Name:
Last Name:NGUYEN
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 1:26602 CAMDEN CHASE
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78015-6571
Mailing Address - Country:US
Mailing Address - Phone:210-520-8144
Mailing Address - Fax:
Practice Address - Street 1:3655 FREDERICKSBURG RD STE 112
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3859
Practice Address - Country:US
Practice Address - Phone:210-733-9990
Practice Address - Fax:210-733-1878
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice