Provider Demographics
NPI:1881952877
Name:NGUYEN, THOMAS TINH VAN (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:TINH VAN
Last Name:NGUYEN
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 1:12739 SILVER ROD LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-7266
Mailing Address - Country:US
Mailing Address - Phone:713-722-0888
Mailing Address - Fax:
Practice Address - Street 1:12739 SILVER ROD LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-7266
Practice Address - Country:US
Practice Address - Phone:713-722-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19272122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist