Duy Quoc Nguyen, DDS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Jbsa Lackland Afb, TX
NPI 1295025880 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1295025880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 11407513-9921 (UT)
- Practice address
- 1100 Wilford Hall Loop
Jbsa Lackland Afb, TX 78236 - Phone
- (210) 292-8626
- NPI assigned
- Apr 15, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39849 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 11407513-9921 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 60648 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 39849 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11407513-9921 | UT | Yes |
Addresses
Primary practice location
1100 Wilford Hall Loop
Jbsa Lackland Afb, TX 78236
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone (210) 292-8626
Other providers in Jbsa Lackland Afb, TX
- Jeffrey Alan Lawson
- Dena Louise Lewis
- John Anthony Mireles III
- Adam Mucci
- Joanna Marliss Funk Nelms
- Jon Jason O'Pry
- Tiffney Peters
- Jennifer Nichole Phillips
- Marygayle Martin Radley
- Farhan Raza
All providers in Jbsa Lackland Afb, TX · Orthodontics and Dentofacial Orthopedics Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.