NPIMap

Kevin Hung Nguyen, DDS

Individual provider Active NPI General Practice Dentistry · Justin, TX

NPI 1124332796 · NPPES record last updated Nov 14, 2018

Key facts

NPI
1124332796
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
25567 (TX)
Practice address
536 S FM 156
Justin, TX 76247-4600
Phone
(972) 948-9483
NPI assigned
Aug 5, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0025567TXMDDentist
25567TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
PM Partnership PLLC General Practice Current Accepting new patients
Comfort Dental, PA General Practice Past Accepting new patients

Locations

536 S FM 156
Justin, TX 76247
Phone (940) 784-5100

1500 Commons Cir
Ste 100
Northlake, TX 76226
Phone (469) 307-5093

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0025567 TX
General Practice Dentistry 1223G0001X 25567 TX Yes

Addresses

Primary practice location

536 S FM 156
Justin, TX 76247-4600

Mailing address

6705 Jackson Dr
Terrell, TX 75161-7402
Phone (972) 948-9483

Other providers in Justin, TX

All providers in Justin, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.