Provider Demographics
NPI:1801996343
Name:NGUYEN, TRAN MINHTHI (DDS)
Entity type:Individual
Prefix:
First Name:TRAN
Middle Name:MINHTHI
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 1:123 CAPCOM AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-6517
Mailing Address - Country:US
Mailing Address - Phone:919-556-3139
Mailing Address - Fax:919-556-6180
Practice Address - Street 1:123 CAPCOM AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-6517
Practice Address - Country:US
Practice Address - Phone:919-556-3139
Practice Address - Fax:919-556-6180
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC70741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice