Provider Demographics
NPI:1528215670
Name:NGUYEN, THO KIM (DDS)
Entity Type:Individual
Prefix:DR
First Name:THO
Middle Name:KIM
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 1:3124 S HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-4737
Mailing Address - Country:US
Mailing Address - Phone:281-585-2300
Mailing Address - Fax:281-585-2301
Practice Address - Street 1:3124 S HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-4737
Practice Address - Country:US
Practice Address - Phone:282-585-2300
Practice Address - Fax:281-585-2301
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23362122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist