Nghiem, Quan

Nghiem, Quan is an individual health care provider with primary practice located at 1510 Dorchester Ave , Dorchester MA 02122-1327. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Nghiem, Quan can be contacted via phone (781) 288-7600.

Contact Information

Primary practice address
1510 Dorchester Ave Dorchester MA 02122-1327
Phone: (781) 288-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22312 Massachusetts
Dental Providers / Endodontics 1223E0200X 22312 Massachusetts

Profile Details

NPI number 1710211958
LBN Legal business name Nghiem, Quan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2009
Last updated Apr 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710211958 NPPES
Massachusetts MEDICAID 46-4210597

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