Thi M Nguyen a Professional Dental Co

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B33962 Issued in CA

Legal business name

THI M NGUYEN A PROFESSIONAL DENTAL CO

Practice address

9746 Westminster Ave
Suite C
Garden Grove, CA 92844

Phone

(714) 638-5513

Fax

(714) 638-2112

NPI assigned

Apr 4, 2007

Last updated

Nov 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mai Thi Thi NguyenNPI 1467878041

Title

DDS

Phone

(714) 638-5513

Specialties & licenses 1

Addresses

Other names 1

• Mai Thi T Nguyen DDS Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mai Thi Thi Nguyen, DDS

  • Dentist
  • Garden Grove, CA
  • NPI 1467878041
  Authorized official Same address or phone

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1457473084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676",
            "address_2": "9746 WESTMINSTER AVE #C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92844",
            "telephone_number": "714-638-5513",
            "fax_number": "714-638-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 WESTMINSTER AVE",
            "address_2": "SUITE C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92844",
            "telephone_number": "714-638-5513",
            "fax_number": "714-638-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI M NGUYEN A PROFESSIONAL DENTAL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MAI THI",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "714-638-5513"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B33962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mai Thi T Nguyen DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, 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 Nov 23, 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.