Provider Demographics
NPI:1780178483
Name:NGUYEN, TRUC-VIEN DINH (DDS)
Entity type:Individual
Prefix:DR
First Name:TRUC-VIEN
Middle Name:DINH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14306 AYERS ROCK RD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7594
Mailing Address - Country:US
Mailing Address - Phone:281-701-8626
Mailing Address - Fax:
Practice Address - Street 1:1135 CRABB RIVER RD STE 170
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5896
Practice Address - Country:US
Practice Address - Phone:281-747-6317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice