Provider Demographics
NPI:1831102789
Name:THAI, SUZANNE NGUYEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:NGUYEN
Last Name:THAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 FM 2181
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-4200
Mailing Address - Country:US
Mailing Address - Phone:940-594-1198
Mailing Address - Fax:
Practice Address - Street 1:3941 FM 2181
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-4200
Practice Address - Country:US
Practice Address - Phone:940-594-1198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice