Avue Cosmetic Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22693 Issued in TX

Legal business name

AVUE COSMETIC DENTISTRY

Practice address

6509 W. Park Blvd
410
Plano, TX 75093

Phone

(972) 403-7640

Fax

(972) 403-7642

NPI assigned

Aug 28, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Trent M Nguyen, D.D.S

Title

Owner

Phone

(832) 816-8533

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1104174820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 W. PARK BLVD",
            "address_2": "410",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-403-7640",
            "fax_number": "972-403-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 W. PARK BLVD",
            "address_2": "410",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-403-7640",
            "fax_number": "972-403-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVUE COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-816-8533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467574319",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avesta Medical Services, PLLC
• David Ernesto Aviles Martinez, M.D.
• Elizabeth Aviles, APRN-CNM
• Siri Avirineni, RBT
• Ioannis Alexander Avramis, M.D.
• Omar Awad, M.D.
• Pranali Awadhare, MD
• Awaken Therapy
• Sam Awan, M.D.
• Mahdi M Awwad, M.D.

• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.