Provider Demographics
NPI:1275347221
Name:STEVEN T. NGUYEN, DDS, A P.C.
Entity type:Organization
Organization Name:STEVEN T. NGUYEN, DDS, A P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-973-1323
Mailing Address - Street 1:506 W GRAHAM AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-3600
Mailing Address - Country:US
Mailing Address - Phone:951-674-6853
Mailing Address - Fax:951-674-6854
Practice Address - Street 1:506 W GRAHAM AVE STE 205
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-3600
Practice Address - Country:US
Practice Address - Phone:951-674-6853
Practice Address - Fax:951-674-6854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty