| Organization Name: | JOHN H. T. NGUYEN, DMD, PA |
| NPI Number: | 1215071683 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN NGUYEN (PRESIDENT) |
| Mailing Address: | 1196 E State Road 434 Winter Springs |
| State: | FL US |
| Postal Code: | 327082715 |
| Phone Number: | 4073272015 |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2007 |
| NPI Last Update Date: | 09/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DN14349 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |