Provider Demographics
NPI:1790943967
Name:NGUYEN & TONG PLLC
Entity Type:Organization
Organization Name:NGUYEN & TONG PLLC
Other - Org Name:DENTISTS ON NELLIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-457-5335
Mailing Address - Street 1:2755 S NELLIS BLVD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7549
Mailing Address - Country:US
Mailing Address - Phone:702-457-5335
Mailing Address - Fax:702-457-3848
Practice Address - Street 1:2755 S NELLIS BLVD
Practice Address - Street 2:SUITE 12
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-7549
Practice Address - Country:US
Practice Address - Phone:702-457-5335
Practice Address - Fax:702-457-3848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty