# COLLEEN NGUYEN, D.D.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033579107
- **Authorized official:** DR. COLLEEN NGUYEN DDS (OWNER)
- **Authorized official phone:** (913) 788-0800

## Contact information

- **Practice address:** 9501 STATE AVE STE 7, KANSAS CITY, KS 66111-1871
- **Practice address phone:** (913) 788-0800
- **Practice address fax:** (913) 788-4390
- **Mailing address:** 9501 STATE AVE, SUITE 7, KANSAS CITY, KS 66111-1871
- **Mailing address phone:** (913) 788-0800
- **Mailing address fax:** (913) 788-4390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7141 | KS | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 7141 | KS | — |

## Other

- **Enumeration date:** 03/02/2016
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7551110001 | PTAN | KS |