Dung T.P. Nguyen Dental Corporation

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

42749 Issued in CA

Legal business name

DUNG T.P. NGUYEN DENTAL CORPORATION

Practice address

3426 University Ave
San Diego, CA 92104-2201

Phone

(619) 281-2186

NPI assigned

Dec 21, 2006

Last updated

Aug 22, 2020By 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

Dung Thi Phuong Nguyen, DDSQNPI 1013075324

Title

President

Phone

(619) 281-2186

Specialties & licenses 1

Addresses

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.

• Dun G Thi Phuong Nguyen, DDS

  • Prosthodontics
  • San Diego, CA
  • NPI 1013075324
  NPD (past) Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518021500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042201",
            "telephone_number": "619-281-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042201",
            "telephone_number": "619-281-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNG T.P. NGUYEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "THI PHUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-281-2186",
        "authorized_official_credential": "DDSQ"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "42749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Zachary Duncan, DO
• Tessa Duncan
• Katelyn Chelsea Dunford
• Dung Ly Nguyen, DDS, Inc
• Dung Minh Pham DDS Inc.
• Jessica Lynn Dungan
• Roquette Marie Dungan, LCSW
• Jennifer Joy Dunkin, PH.D.
• Rachel Dunkin
• Ashley Dunkle

• Prosthodontics in San Diego, CA
• Providers in San Diego, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.