Provider Demographics
NPI:1508948019
Name:NGUYEN, ANDREW TUONG-LINH (DDS)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:TUONG-LINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22084 E JAMISON PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7155
Mailing Address - Country:US
Mailing Address - Phone:303-955-2578
Mailing Address - Fax:
Practice Address - Street 1:2900 S PEORIA ST
Practice Address - Street 2:BUILDING B
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5712
Practice Address - Country:US
Practice Address - Phone:303-750-7750
Practice Address - Fax:303-750-1374
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO91771223P0221X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223P0221XDental ProvidersDentistPediatric Dentistry
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics