DR. HOLLY DO NGUYEN D.M.D. NPI 1619258969

NPI Information

NPI: 1619258969
Provider Name: DR. HOLLY DO NGUYEN, D.M.D.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
6404 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19149
Phone: (215) 743-3700
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DR. Holly Do Nguyen, D.M.D. is a pediatric dentistry dentist in Philadelphia, PA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Holly Do Nguyen, D.M.D. NPI is 1619258969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6404 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19149-943
Phone: (215) 743-3700

The NPI 1619258969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/31/2011 and was last updated on 9/21/2015.

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	1223G0001X	Dentist	General Practice	DS038673	PENNSYLVANIA	No
2	1223P0221X	Dentist	Pediatric Dentistry	DS038673	PENNSYLVANIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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