Provider Demographics
NPI:1184736860
Name:NGUYEN SILVA & SILVA DMD
Entity type:Organization
Organization Name:NGUYEN SILVA & SILVA DMD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TUNG
Authorized Official - Middle Name:THAI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:336-510-2600
Mailing Address - Street 1:1505 W LEE ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-2714
Mailing Address - Country:US
Mailing Address - Phone:336-510-2600
Mailing Address - Fax:336-510-2601
Practice Address - Street 1:1505 W LEE ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-2714
Practice Address - Country:US
Practice Address - Phone:336-510-2600
Practice Address - Fax:336-510-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001336423261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC90154OtherBLUE CROSS BLUE SHIELD
NC1482957OtherUNITED CONCORDIA
NC8990154Medicaid
NC98714-1OtherUNITED HEALTH CARE
NC90154OtherNC STATE HEALTH CHOICE