Provider Demographics
NPI:1588794762
Name:NGUYEN, HIEN THIEN (DDS)
Entity type:Individual
Prefix:
First Name:HIEN
Middle Name:THIEN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5850 K AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3095
Mailing Address - Country:US
Mailing Address - Phone:972-422-8662
Mailing Address - Fax:972-422-8655
Practice Address - Street 1:5850 K AVE STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-3095
Practice Address - Country:US
Practice Address - Phone:972-422-8662
Practice Address - Fax:972-422-8655
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice