A MATTHEW NGUYEN DDS CORP. NPI 1154067999

NPI Information

NPI: 1154067999
Provider Name: A MATTHEW NGUYEN DDS CORP.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6712 HILO AVE
BRYANT, AR
ZIP 72019
Phone: (501) 765-7689
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A MATTHEW NGUYEN DDS CORP. is a dental clinic center in Bryant, AR. A MATTHEW NGUYEN DDS CORP. NPI is 1154067999. The provider is registered as an organization entity type.

The provider's business location address is:

6712 HILO AVE
BRYANT, AR
ZIP 72019-841
Phone: (501) 765-7689

The provider's authorized official is Peggy Red .
The authorized official title is Manager and has the following contact phone number (501) 847-9191.

The enumeration date for this NPI number is 5/5/2022 and was last updated on 5/5/2022.

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	4131	OTHER	ARKANSAS	DENTAL OFFICE

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: 4/28/2024

NPI Synchronization or Removal

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