Provider Demographics
NPI:1003092024
Name:NGUYEN, THOMAS K (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:K
Last Name:NGUYEN
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-8008
Mailing Address - Country:US
Mailing Address - Phone:530-961-5926
Mailing Address - Fax:
Practice Address - Street 1:1931 E 20TH ST
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-8008
Practice Address - Country:US
Practice Address - Phone:530-961-5926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice