Provider Demographics
NPI:1952406050
Name:NGUYEN, CYNDI T (DDS)
Entity Type:Individual
Prefix:DR
First Name:CYNDI
Middle Name:T
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 1:128 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19072
Mailing Address - Country:US
Mailing Address - Phone:225-766-8107
Mailing Address - Fax:225-766-2382
Practice Address - Street 1:1000 LINCOLN DR E STE 3A
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1566
Practice Address - Country:US
Practice Address - Phone:855-547-3746
Practice Address - Fax:609-733-4174
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0385631223S0112X
NJD10260761223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery