Provider Demographics
NPI:1780828145
Name:S. H. NGUYEN, INC
Entity type:Organization
Organization Name:S. H. NGUYEN, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:H
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-430-9099
Mailing Address - Street 1:15668 W VALLEY HWY
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-5534
Mailing Address - Country:US
Mailing Address - Phone:425-430-9099
Mailing Address - Fax:425-430-9829
Practice Address - Street 1:15668 W VALLEY HWY
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-5534
Practice Address - Country:US
Practice Address - Phone:425-430-9099
Practice Address - Fax:425-430-9829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00008242122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1932270576OtherDSHS
WA1487702148OtherDSHS