Provider Demographics
NPI:1659435022
Name:NGUYEN, STEVE TAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:TAN
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 1:12215 GRANT RD
Mailing Address - Street 2:SUITE #A
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2763
Mailing Address - Country:US
Mailing Address - Phone:281-370-7778
Mailing Address - Fax:281-370-7787
Practice Address - Street 1:12215 GRANT RD
Practice Address - Street 2:SUITE #A
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2763
Practice Address - Country:US
Practice Address - Phone:281-370-7778
Practice Address - Fax:281-370-7787
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice