Individual
DR. RYAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6027 HAMPTON AVE, SAINT LOUIS, MO 63109-3608
(314) 773-3666
Mailing address
6027 HAMPTON AVE, SAINT LOUIS, MO 63109-3608
(314) 773-3666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2025020809
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
02/10/2026
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