Organization
COLLEEN NGUYEN, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN NGUYEN DDS (OWNER)
(913) 788-0800
Entity
Organization
Contact information
Practice address
9501 STATE AVE STE 7, KANSAS CITY, KS 66111-1871
(913) 788-0800
(913) 788-4390
Mailing address
9501 STATE AVE, SUITE 7, KANSAS CITY, KS 66111-1871
(913) 788-0800
(913) 788-4390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7141
KS
332B00000X
Durable Medical Equipment & Medical Supplies
7141
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7551110001
PTAN
KS
Enumeration date
03/02/2016
Last updated
03/17/2018
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