Individual
DR. JAMES NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1402 BERLIN TPKE, WETHERSFIELD, CT 06109-1010
(860) 956-1396
(860) 956-1396
Mailing address
1402 BERLIN TPKE, WETHERSFIELD, CT 06109-1010
(860) 956-1396
(860) 956-1396
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9130
CT
1223G0001X
General Practice Dentistry
Primary
9130
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002091304
—
CT
Enumeration date
03/24/2007
Last updated
02/10/2014
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