Provider Demographics
NPI:1497064117
Name:NGUYEN, NGOC TUYET (DMD)
Entity Type:Individual
Prefix:DR
First Name:NGOC
Middle Name:TUYET
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 1:5677 TREASCHWIG RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-7162
Mailing Address - Country:US
Mailing Address - Phone:503-484-3435
Mailing Address - Fax:281-645-4565
Practice Address - Street 1:5677 TREASCHWIG RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-7162
Practice Address - Country:US
Practice Address - Phone:281-645-4205
Practice Address - Fax:281-645-4565
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601702261223G0001X
TX25999122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice