Organization Active NPI

Jennifer Nguyen DDS PLLC

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1659621183
Registry record updated Jan 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60226224 Issued in WA
Legal business name
JENNIFER NGUYEN DDS PLLC
Doing business as
Seattle Smiles Dental
Practice address
1325 4TH Ave
Suite 1230
Seattle, WA 98101-2573
Phone
(206) 624-1773
Fax
(206) 624-2268
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2013

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

Authorized official

Name
Dr. Jennifer Bichloan Nguyen, DDS
Title
Dentist/Owner
Phone
(206) 624-1773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60226224 WA Primary

Addresses

Primary practice location

1325 4TH Ave
Suite 1230
Seattle, WA 98101-2573

Mailing address

1325 4TH Ave
Suite 1230
Seattle, WA 98101-2573
Phone (206) 624-1773

Other names 1

  • Seattle Smiles Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1325 4th Ave
Ste 1230
Seattle, WA 98101
Phone (206) 624-1773

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359158400000",
    "number": "1659621183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 4TH AVE",
            "address_2": "SUITE 1230",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012573",
            "telephone_number": "206-624-1773",
            "fax_number": "206-624-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 4TH AVE",
            "address_2": "SUITE 1230",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012573",
            "telephone_number": "206-624-1773",
            "fax_number": "206-624-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER NGUYEN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2013-01-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BICHLOAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "206-624-1773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60226224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; 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.