Provider Demographics
NPI:1285874289
Name:NGUYEN, WILLIAM HOANG TUAN (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HOANG TUAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 KENDALE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-4736
Mailing Address - Country:US
Mailing Address - Phone:214-350-8800
Mailing Address - Fax:214-350-8800
Practice Address - Street 1:2823 KENDALE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-4736
Practice Address - Country:US
Practice Address - Phone:214-350-8800
Practice Address - Fax:214-350-8800
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX244281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice