DR. TUNG NGUYEN (NPI# 1629451166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629451166 |
| Entity Type | Individual |
| Full Name | DR. TUNG NGUYEN |
| Credential | DDS |
| Practice Address |
1019 112th St Sw Everett WA 98204-4875 |
| Practice Telephone | 4255516003 |
| Mailing Telephone | 4255516003 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2020-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DE60580126 | WA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60580126 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700038577 | Tung Huu Nguyen | Internal Medicine | 9822 Bolsa Ave Ste F, Westminster, CA 92683-6870 | 2008-10-10 |
| 1811015118 | Tung Xuan Nguyen | Dentist | 2739 W Edinger Ave, Santa Ana, CA 92704-3523 | 2007-03-26 |
| 1700996881 | Tung Duc Nguyen | Pediatrics | 6404-k Seven Corners Place, Falls Church, VA 22044 | 2006-08-30 |
| 1245248103 | Tung Van Nguyen | Family Medicine | 657 Vinings Estates Dr Se, Mableton, GA 30126 | 2006-08-04 |
| 1285679449 | Tung Cong Nguyen | Family Medicine | 2509 W 1st St, Santa Ana, CA 92703-3401 | 2006-06-19 |
| 1013982024 | Tung Thanh Nguyen | Family Medicine | 621 Tully Rd, Suite 105, San Jose, CA 95111-1013 | 2006-02-22 |
| 1700410479 | Tung Nguyen | Student in an Organized Health Care Education/Training Program | 622 W 168th St, New York, NY 10032-3720 | 2020-03-02 |
| 1790282432 | Tung Thanh Nguyen | Pharmacist | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2018-04-10 |
| 1164950861 | Tung Nguyen | Pharmacist | 600 W Main St, Santa Paula, CA 93060-3124 | 2017-05-25 |
| 1700317120 | Tung Nguyen | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2017-03-27 |
| Street Address |
1019 112TH ST SW |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753733 | Yvonne Qing Ma | Pediatrics | 1019 112th St Sw, Everett, WA 98204-4875 | 2005-10-12 |
| 1548867302 | Ran Tao | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2020-10-05 |
| 1881254464 | Sandra Lynn Crannell | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2019-06-17 |
| 1871058073 | Lauren Nguyen | Registered Nurse | 1019 112th St Sw, Everett, WA 98204-4875 | 2019-02-01 |
| 1104394097 | Reginah Nampinga | Registered Nurse | 1019 112th St Sw, Everett, WA 98204-4875 | 2018-11-08 |
| 1790252708 | Elroy Dean Quemado | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2018-10-29 |
| 1487008462 | Hiruy Gebrewold | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-04-15 |
| 1972961571 | Courtney Fisher | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-02-10 |
| 1699132001 | Samina Quidwai | Dentist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-01-15 |
| 1699131284 | Marissa Lee Darling | Dietitian, Registered | 1019 112th St Sw, Everett, WA 98204 | 2016-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| 1700494747 | Hwang Ghorbanian Im II Dds Ps | Dentist | 111 Se Everett Mall Way Ste B100, Everett, WA 98208-3208 | 2020-07-15 |
| 1467946376 | Quirt, Mongrain, Gibree, P.C. | Dentist | 10025 19th Ave Se Ste 200, Everett, WA 98208-4275 | 2018-06-15 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1003176512 | Phuongdao Dmd LLC | Dentist | 910 Broadway Fl 1, Everett, MA 02149-3126 | 2012-05-18 |
| 1275869000 | Dae Ho Kim | Dentist | 5929 Evergreen Way Ste 100, Everett, WA 98203-6031 | 2009-10-29 |
| 1578727269 | Atkinson & Kaopua, Ps | Dentist | 111 Se Everett Mall Way Ste D, Everett, WA 98208-3208 | 2008-07-11 |
| 1942468004 | Kee Nam Kim | Dentist | 10303 19th Ave Se Ste A, Everett, WA 98208-4265 | 2008-05-27 |
| 1609061886 | Dr Peter A Capodlilupo Dds P.C. | Dentist | 563 Broadway Ste 21, Everett, MA 02149-3749 | 2007-09-11 |
| 1124223755 | Phuong Thi Dao | Dentist | 910 Broadway, 1, Everett, MA 02149-3126 | 2007-06-14 |
| Find all providers in EVERETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.