Provider Demographics
NPI:1629262365
Name:STEVEN T. NGUYEN, DDS, A P.C.
Entity Type:Organization
Organization Name:STEVEN T. NGUYEN, DDS, A P.C.
Other - Org Name:SMILE DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-304-7881
Mailing Address - Street 1:40315 WINCHESTER RD STE C
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-5559
Mailing Address - Country:US
Mailing Address - Phone:951-304-7881
Mailing Address - Fax:951-304-7882
Practice Address - Street 1:40315 WINCHESTER RD STE C
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5559
Practice Address - Country:US
Practice Address - Phone:951-304-7881
Practice Address - Fax:951-304-7882
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEVEN T. NGUYEN, DDS, A P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-05
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty