Nguyen, Nam-Rene

Nguyen, Nam-Rene is an individual health care provider with primary practice located at 320 E Western Ave , Avondale AZ 85323-2348. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nguyen, Nam-Rene can be contacted via phone (623) 932-3344.

Contact Information

Primary practice address
320 E Western Ave Avondale AZ 85323-2348
Fax: (623) 932-0594
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X AZ5074 Arizona

Profile Details

NPI number 1225191968
LBN Legal business name Nguyen, Nam-Rene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2006
Last updated Jul 9th, 2007 - about 19 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 1225191968 NPPES
Arizona MEDICAID 480476

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