Provider Demographics
NPI:1457569873
Name:NGUYEN, HOP HUU (DMD)
Entity Type:Individual
Prefix:
First Name:HOP
Middle Name:HUU
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4280 S HUALAPAI WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8397
Mailing Address - Country:US
Mailing Address - Phone:702-221-4236
Mailing Address - Fax:
Practice Address - Street 1:4280 S HUALAPAI WAY STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8397
Practice Address - Country:US
Practice Address - Phone:702-221-4236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4760T1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice