Provider Demographics
NPI:1750067054
Name:NGUYEN, VU-ANH WILLIAM (DMD)
Entity type:Individual
Prefix:
First Name:VU-ANH
Middle Name:WILLIAM
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 1:2508 SW 35TH PL # M73
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-3252
Mailing Address - Country:US
Mailing Address - Phone:407-493-5830
Mailing Address - Fax:
Practice Address - Street 1:7621 SW STATE ROAD 200 UNIT 103
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-7201
Practice Address - Country:US
Practice Address - Phone:407-493-5830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD280821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice