Provider Demographics
NPI:1073242178
Name:NGUYEN, VY-VIEN VIVIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:VY-VIEN
Middle Name:VIVIAN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8850 LONG POINT RD APT 2102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-2129
Mailing Address - Country:US
Mailing Address - Phone:985-774-0775
Mailing Address - Fax:
Practice Address - Street 1:7270 ANTOINE DR STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-7249
Practice Address - Country:US
Practice Address - Phone:281-260-8999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA73271223G0001X
TX411651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice