Provider Demographics
NPI:1558660704
Name:NGUYEN, KEVIN KHANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:KHANG
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 1:2909 VENTURA DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3012
Mailing Address - Country:US
Mailing Address - Phone:805-450-7416
Mailing Address - Fax:
Practice Address - Street 1:2909 VENTURA DR
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3012
Practice Address - Country:US
Practice Address - Phone:805-450-7416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-26
Last Update Date:2011-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program