Nguyen, James

Nguyen, James is an sole proprietor health care provider with primary practice located at 1402 Berlin Tpke , Wethersfield CT 06109-1010. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Nguyen, James can be contacted via phone (860) 956-1396.

Contact Information

Primary practice address
1402 Berlin Tpke Wethersfield CT 06109-1010
Phone: (860) 956-1396
Fax: (860) 956-1396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9130 Connecticut
Dental Providers / General Practice 1223G0001X 9130 Connecticut

Profile Details

NPI number 1801913660
LBN Legal business name Nguyen, James
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2007
Last updated Feb 10th, 2014 - about 10 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 1801913660 NPPES
Connecticut MEDICAID 002091304

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