Provider Demographics
NPI:1598825010
Name:NGUYEN, ANTHONY H (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:H
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 1:2305 CAMINO RAMON
Mailing Address - Street 2:SUITE 215
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1396
Mailing Address - Country:US
Mailing Address - Phone:925-866-1777
Mailing Address - Fax:925-866-1778
Practice Address - Street 1:2305 CAMINO RAMON
Practice Address - Street 2:SUITE 215
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1396
Practice Address - Country:US
Practice Address - Phone:925-866-1777
Practice Address - Fax:925-866-1778
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA503361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice