Provider Demographics
NPI:1801945795
Name:DAO, NHAN NGUYEN (DDS)
Entity type:Individual
Prefix:
First Name:NHAN
Middle Name:NGUYEN
Last Name:DAO
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 1:999 STORY RD STE 9066
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-4604
Mailing Address - Country:US
Mailing Address - Phone:408-937-8881
Mailing Address - Fax:408-228-8099
Practice Address - Street 1:999 STORY RD STE 9066
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-4604
Practice Address - Country:US
Practice Address - Phone:408-937-8881
Practice Address - Fax:408-228-8099
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB45562-01OtherDENTI-CAL PROVIDER NUMBER