Provider Demographics
NPI:1982436887
Name:NICHOLAS H NGUYEN DDS PLLC
Entity type:Organization
Organization Name:NICHOLAS H NGUYEN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-878-2864
Mailing Address - Street 1:7995 INTERLAKEN DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-8026
Mailing Address - Country:US
Mailing Address - Phone:720-878-2864
Mailing Address - Fax:
Practice Address - Street 1:1045 GARDEN OF THE GODS RD STE N
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3436
Practice Address - Country:US
Practice Address - Phone:719-359-5323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty