Provider Demographics
NPI:1265588800
Name:NGUYEN, TERRY (DDS)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:
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 1:1441 KAPIOLANI BLVD
Mailing Address - Street 2:STE 803
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814
Mailing Address - Country:US
Mailing Address - Phone:808-599-0481
Mailing Address - Fax:855-866-2178
Practice Address - Street 1:1441 KAPIOLANI BLVD
Practice Address - Street 2:STE 803
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:808-599-0481
Practice Address - Fax:855-866-2178
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-2213122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist