Bao Van Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN8235 Issued in FL

Practice address

3725 Central Ave
St Petersburg, FL 33713-8338

Phone

(727) 323-0377

Fax

(727) 323-3989

NPI assigned

Nov 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295814630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 MARCO DR NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022717",
            "telephone_number": "727-323-0377",
            "fax_number": "727-323-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138338",
            "telephone_number": "727-323-0377",
            "fax_number": "727-323-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BAO",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nextedge Vision Enterprise LLC
• Nexus Pediatric Therapy Inc
• Benton NG, M.D.
• Thu Anh Ngo, PHARMD
• Thuy Ngo, D.O
• Bao-Quyen Nguyen, PT
• Bichthuy Thi Nguyen, PHARMD
• Christelle T Nguyen, DO
• Dzi-Viet P Nguyen, D.O.
• Ethan Nguyen, PHARMD

• General Practice Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.