Nguyen, Susan

Nguyen, Susan is an individual health care provider with primary practice located at 8573 Urbandale Ave , Urbandale IA 50322. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Nguyen, Susan can be contacted via phone (515) 279-3848.

Contact Information

Primary practice address
8573 Urbandale Ave Urbandale IA 50322
Phone: (515) 279-3848
Fax: (515) 279-4479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 08030 Iowa

Profile Details

NPI number 1609936392
LBN Legal business name Nguyen, Susan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 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 1609936392 NPPES
Iowa MEDICAID 1209882

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