| Colleen Nguyen, D.d.s., P.a. | |
|
9501 State Ave Ste 7 Kansas City KS 66111-1871 | |
| (913) 788-0800 | |
| (913) 788-4390 |
| Full Name | Colleen Nguyen, D.d.s., P.a. |
|---|---|
| Speciality | Dentist |
| Location | 9501 State Ave Ste 7, Kansas City, Kansas |
| Authorized Official Name and Position | Colleen Nguyen (OWNER) |
| Authorized Official Contact | 9137880800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Nguyen, D.d.s., P.a. 9501 State Ave Suite 7 Kansas City KS 66111-1871 Ph: (913) 788-0800 | Colleen Nguyen, D.d.s., P.a. 9501 State Ave Ste 7 Kansas City KS 66111-1871 Ph: (913) 788-0800 |
| NPI Number | 1033579107 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 0648566711 |
|---|---|
| Medicare Enrollment ID | O20160915002722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033579107 | NPI | - | NPPES |
| 7551110001 | Other | KS | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7141 (Kansas) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 7141 (Kansas) | Secondary |
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