Nguyen, Phong
Nguyen, Phong is an individual health care provider with primary practice located at 1213 E Franklin Ave , Minneapolis MN 55404. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dental Therapist, Dental Providers / Advanced Practice Dental Therapist. Dental Providers / Advanced Practice Dental Therapist is his primary health care specialty. Nguyen, Phong can be contacted via phone (612) 872-8086.Contact Information
Primary practice address
1213 E Franklin Ave
Minneapolis MN 55404
Phone: (612) 872-8086
Fax: (612) 872-8547
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | H9909 | Minnesota |
Dental Providers / Dental Therapist | 125J00000X | DT78 | Minnesota |
Dental Providers / Advanced Practice Dental Therapist | 125K00000X | DT78 | Minnesota |
Profile Details
NPI number | 1528509510 |
---|---|
LBN Legal business name | Nguyen, Phong |
Credentials | ADT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2017 |
Last updated | Mar 28th, 2019 - about 5 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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