Provider Demographics
NPI:1821135955
Name:NGUYEN, ALAN HUY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:HUY
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 1:14 MELODY LN
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1372
Mailing Address - Country:US
Mailing Address - Phone:949-218-7201
Mailing Address - Fax:
Practice Address - Street 1:30111 NIGUEL RD STE A
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-2260
Practice Address - Country:US
Practice Address - Phone:949-249-2995
Practice Address - Fax:949-249-2862
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA473981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice