Organization
DOUGLAS NGUYEN, DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS DUC TIEN NGUYEN DDS (CEO)
(714) 839-9800
Entity
Organization
Contact information
Practice address
9600 BOLSA AVE, SUITE E, WESTMINSTER, CA 92683
(714) 839-9800
(714) 839-9894
Mailing address
9600 BOLSA AVE, SUITE E, WESTMINSTER, CA 92683
(714) 839-9800
(714) 839-9894
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
909964
UNITED CONCORDIA PPO DENTAL PROVIDER NUMBER
CA
01
—
B40970-01
DENTI-CAL BILLING PROVIDER NUMBER
CA
01
—
CGP 166519
CALIFORNIA CHILDREN'S SERVICES BILLING PROVIDER
CA
01
—
D40970
DENTI-CAL RENDERING PROVIDER NUMBER
CA
Enumeration date
05/01/2007
Last updated
09/05/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up