Provider Demographics
NPI:1790072130
Name:NGUYEN, DENNIS CUU (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:CUU
Last Name:NGUYEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:MSC 8238-43-1150
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-7388
Mailing Address - Fax:833-301-0853
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:DIV SURG PLASTICS, STE 6G
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-362-7388
Practice Address - Fax:833-301-0853
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2023-02-03
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Provider Licenses
StateLicense IDTaxonomies
MO2013040210208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200062474Medicaid