Provider Demographics
NPI:1912319468
Name:NGUYEN, ALVIN DOAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:DOAN
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 1:13562 PORTOBELLO DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4849
Mailing Address - Country:US
Mailing Address - Phone:832-618-5906
Mailing Address - Fax:
Practice Address - Street 1:12168 BELLAIRE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2644
Practice Address - Country:US
Practice Address - Phone:281-400-1111
Practice Address - Fax:281-741-8809
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29901122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist