Provider Demographics
NPI:1477943231
Name:NGUYEN, TRANG THI QUYNH (DDS)
Entity Type:Individual
Prefix:
First Name:TRANG
Middle Name:THI QUYNH
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 1:2800 WAKEFIELD PINES DRIVE SUITE 110
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614
Mailing Address - Country:US
Mailing Address - Phone:919-570-0180
Mailing Address - Fax:919-570-0280
Practice Address - Street 1:2800 WAKEFIELD PINES DRIVE SUITE 110
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614
Practice Address - Country:US
Practice Address - Phone:919-570-0180
Practice Address - Fax:919-570-0280
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC101391223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program