Provider Demographics
NPI:1477049724
Name:STEVEN J. NGUYEN, DDS. PC.
Entity Type:Organization
Organization Name:STEVEN J. NGUYEN, DDS. PC.
Other - Org Name:HB SMILE DENTAL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:657-329-4100
Mailing Address - Street 1:9506 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-8074
Mailing Address - Country:US
Mailing Address - Phone:657-329-4100
Mailing Address - Fax:714-908-7728
Practice Address - Street 1:9506 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-8074
Practice Address - Country:US
Practice Address - Phone:657-329-4100
Practice Address - Fax:714-908-7728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47397261QD0000X
261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental