Provider Demographics
NPI:1265694772
Name:NGUYEN, VINH THE (DDS)
Entity type:Individual
Prefix:
First Name:VINH
Middle Name:THE
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 1:15870 SW FREEWAY
Mailing Address - Street 2:STE 500
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478
Mailing Address - Country:US
Mailing Address - Phone:281-491-9494
Mailing Address - Fax:281-491-9496
Practice Address - Street 1:15870 SW FREEWAY
Practice Address - Street 2:STE 500
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-491-9494
Practice Address - Fax:281-491-9496
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00240581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice