Provider Demographics
NPI:1821439704
Name:NGUYEN, LUKE-HIEU QUANG (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:LUKE-HIEU
Middle Name:QUANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14246 SE 176TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-8787
Mailing Address - Country:US
Mailing Address - Phone:425-437-8811
Mailing Address - Fax:
Practice Address - Street 1:14246 SE 176TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-8787
Practice Address - Country:US
Practice Address - Phone:425-437-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE611887271223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry