DR. JACQUELINE B. NGUYEN DDS APC NPI 1295203941

NPI Information

NPI: 1295203941
Provider Name: DR. JACQUELINE B. NGUYEN, DDS, APC

Doing Business As: EVERGREEN DENTISTS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2847 S WHITE RD STE 204
SAN JOSE, CA
ZIP 95148
Phone: (408) 238-8380
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DR. JACQUELINE B. NGUYEN, DDS, APC is a dental clinic center in San Jose, CA. DR. JACQUELINE B. NGUYEN, DDS, APC NPI is 1295203941. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Dentists.

The provider's business location address is:

2847 S WHITE RD STE 204
SAN JOSE, CA
ZIP 95148-942
Phone: (408) 238-8380
Fax: (408) 238-8404

The provider's authorized official is Jacqueline B Nguyen .
The authorized official title is Owner/president and has the following contact phone number (408) 472-4749.

The enumeration date for this NPI number is 11/9/2018 and was last updated on 12/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	48969	OTHER	CALIFORNIA	DENTAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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