Minh-Tri Nguyen Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47142 Issued in CA

Legal business name

MINH-TRI NGUYEN DENTAL CORP.

Practice address

15975 Harbor Blvd
Fountain Valley, CA 92708-1303

Phone

(714) 546-6575

NPI assigned

Jan 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Minh-Tri Huynh Nguyen, DMDNPI 1245306349

Title

President

Phone

(714) 386-2758

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minh-Tri Huynh Nguyen, DMD

  • Dentist
  • Fountain Valley, CA
  • NPI 1245306349
  NPD (past) Authorized official

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1326319252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "MIDWAY CITY",
            "state": "CA",
            "postal_code": "926550602",
            "telephone_number": "714-386-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15975 HARBOR BLVD",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081303",
            "telephone_number": "714-546-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINH-TRI NGUYEN DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINH-TRI",
        "authorized_official_middle_name": "HUYNH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-386-2758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.