Individual
TUNG T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1112 E CONE BLVD, GREENSBORO, NC 27405-4546
(336) 510-0456
(336) 510-0457
Mailing address
1112 E CONE BLVD, GREENSBORO, NC 27405-4546
(336) 510-0456
(336) 510-0457
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7227
NC
1223G0001X
General Practice Dentistry
7227
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1482957
UNITED CONCORDIA
NC
05
—
2373923210
—
NC
05
—
8990154
—
NC
01
—
90154
BLUE CROSS BLUE SHIELD
NC
01
—
98714-1
UNITED HEALTH CARE
NC
Enumeration date
07/11/2006
Last updated
12/21/2022
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