Provider Demographics
NPI:1700946191
Name:NGUYEN, VINH D (DDS)
Entity Type:Individual
Prefix:DR
First Name:VINH
Middle Name:D
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 1:4658 JAZZ ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-8511
Mailing Address - Country:US
Mailing Address - Phone:832-326-6900
Mailing Address - Fax:
Practice Address - Street 1:4637 HEDGCOXE RD STE 112
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3963
Practice Address - Country:US
Practice Address - Phone:972-377-8866
Practice Address - Fax:972-377-8870
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2016-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX229371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice