Victoria Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12647587 Issued in UT

Practice address

4698 S Highland Dr Ste 200
Salt Lake City, UT 84117-5265

Phone

(385) 485-6193

NPI assigned

Jun 20, 2017

Last updated

Feb 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1699295717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4698 S HIGHLAND DR STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4698 S HIGHLAND DR STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175265",
            "telephone_number": "385-485-6193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1094 Royal Ct",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046138",
            "country_code": "US",
            "telephone_number": "541-779-4344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VICTORIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "12647587",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10670",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhi Thi Truc Nguyen
• Sarah Nguyen, MD
• Son Trung Nguyen, MD
• Tuyet Ngoc Nguyen
• Van Lien Nguyen
• Wendy Nguyen
• Edgar Ngwaru
• Henry Albert Nibley
• Nic - Salt Lake City, PLLC
• Sarah Tommi Nicely, MA

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.