AN NGUYEN DDS PROF CORP (NPI# 1871897389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871897389 |
| Entity Type | Organization |
| Organization Name | AN NGUYEN DDS PROF CORP |
| Other Organization Name | 29 PALMS DENTAL |
| Practice Address |
73666 Joshua Dr. Twentynine Palms CA 92277 |
| Practice Telephone | 7608650544 |
| Practice Fax Number | 8888775510 |
| Mailing Telephone | 7608650544 |
| Mailing Fax Number | 8888775510 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2012-11-21 |
| Authorized Official Name | MR. AN V NGUYEN (DENTIST) |
| Authorized Official Telephone | 7608650544 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
59641 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
57500 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
56731 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INDIVIDUAL DENTAL PROVIDER | 1780801969 | 01 |
| CA | INDIVIDUAL DENTAL PROVIDER | 1942538160 | 01 |
| CA | INDIVIDUAL DENTAL PROVIDERS | 1104963750 | 01 |
| Other Name | Type Code |
|---|---|
| 29 Palms Dental | Doing Business As Name - Organization |
| Street Address |
73666 JOSHUA DR. |
| City | TWENTYNINE PALMS |
| State | CA |
| Zip Code | 92277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1932755352 | Candace Irene Myer | Registered Nurse | Mcagcc Mccs Stepping Stones, Del Zalle Dr Building 693, Twentynine Palms, CA 92277 | 2019-08-12 |
| 1831759018 | Courtney Vindigni | Student in an Organized Health Care Education/Training Program | Twentynine Palms, Fpo, AA 92277 | 2019-06-19 |
| 1841857612 | Jasmine E Gomez | Behavior Technician | 8315 Argos Rd, Unit A, 29 Palms, CA 92277 | 2019-05-28 |
| 1861961955 | Golam Subhani Chowdhury | Physician Assistant | 1st Marine Division 7th Marine Regiment, Twentynine Palms, CA 92277 | 2018-11-19 |
| 1093283202 | James Degracie | Dentist | 1519 Griffin Rd, Twentynine Palms, CA 92277 | 2018-11-06 |
| 1659829141 | Sang Eun Lee Dental Corp | Dentist | 72724 Twentynine Palms Hwy #102, Twentynine Palms, CA 92277 | 2016-09-14 |
| 1396115374 | Sarah Camille Paje | Dentist | 1591 Griffin Road, Twentynine Palms, CA 92277 | 2015-10-02 |
| 1053733527 | Hi-desert Memorial Health Care District | Clinic/Center | 72724 29 Palms Hwy Ste 103, 29 Palms, CA 92277 | 2014-01-17 |
| 1316181639 | Lois N Burton | Rehabilitation Practitioner | 73501 Hwy 62 Suite A, 29 Palms, CA 92277 | 2009-04-30 |
| Find all providers in zip 92277 | ||||
| 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 |
|---|---|---|---|---|
| 1659829141 | Sang Eun Lee Dental Corp | Dentist | 72724 Twentynine Palms Hwy #102, Twentynine Palms, CA 92277 | 2016-09-14 |
| 1396115374 | Sarah Camille Paje | Dentist | 1591 Griffin Road, Twentynine Palms, CA 92277 | 2015-10-02 |
| 1255757522 | Kwnag Kee Han | Dentist | 73660 Civic Center Dr, Ste D, Twentynine Palms, CA 92277-7022 | 2014-03-11 |
| 1841484953 | Ronald E. Green, Dds. Inc. | Dentist | 72724 29 Palms Hwy Ste 102, Twentynine Palms, CA 92277-2459 | 2007-08-31 |
| 1720130834 | Sungchun Steven Wee | Dentist | 71757 29 Palms Hwy Ste C, Twentynine Palms, CA 92277-2085 | 2007-01-17 |
| 1396855847 | Steven Irwin Geduld | Dentist | 73660 Civic Center Dr Ste B, Twentynine Palms, CA 92277-2582 | 2006-08-30 |
| 1467445437 | Robert Sterling Hemperly | Dentist | 6363 Mojave Ave, Twentynine Palms, CA 92277-2044 | 2005-08-25 |
| 1982697827 | Matthew Osmak | Dentist | 1591 Griffin Street, Twentynine Palms, CA 92278-8300 | 2005-08-25 |
| 1780195933 | Sang Hoon Chung | Dentist | 1591 Griffin Road, Twentynine Palms, CA 92278-0000 | 2017-10-16 |
| 1154725612 | 29 Palms Dental Group, An Nguyen Dds Ms Corp | Dentist | 73666 Joshua Dr, Twentynine Palms, CA 92277-2572 | 2014-10-13 |
| Find all providers in TWENTYNINE PALMS | ||||
| City | TWENTYNINE PALMS |
| Zip Code | 92277 |
Please comment or provide details below to improve the information on AN NGUYEN DDS PROF CORP.
| 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.