Tracy Nguyen, D.D.S., Professional Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47647 Issued in CA

Legal business name

TRACY NGUYEN, D.D.S., PROFESSIONAL DENTAL CORP.

Practice address

13872 Harbor Blvd Ste 1a-3
Garden Grove, CA 92843-4041

Phone

(714) 554-9358

Fax

(714) 554-9359

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tracy T Nguyen, D.D.S.

Title

Ceo

Phone

(714) 554-9358

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1659442895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13872 HARBOR BLVD STE 1A-3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434041",
            "telephone_number": "714-554-9358",
            "fax_number": "714-554-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13872 HARBOR BLVD STE 1A-3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434041",
            "telephone_number": "714-554-9358",
            "fax_number": "714-554-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY NGUYEN, D.D.S., PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-554-9358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Philip Totah
• Adrian Totanes
• Randall Lesley Tovar-Pratt
• Lianna Minette Towers
• Mia Isabella Traches Nunez
• Tracy Tom Park, O.D.
• Tram Pham Pharmd, Inc
• Anh Thu Tram, D.D.S.
• Melissa Thuy Tram, DDS
• Thinh Tram

• 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 Jun 27, 2014; 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.