| Tnt Dental Group | |
|
14541 Brookhurst St Ste C4 Westminster CA 92683-5784 | |
| (714) 775-2911 | |
| (714) 775-3105 |
| Full Name | Tnt Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 14541 Brookhurst St Ste C4, Westminster, California |
| Authorized Official Name and Position | Tan Q Nguyen (PARTNER) |
| Authorized Official Contact | 7147752911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tnt Dental Group 14541 Brookhurst St Ste C4 Westminster CA 92683-5784 Ph: (714) 775-2911 | Tnt Dental Group 14541 Brookhurst St Ste C4 Westminster CA 92683-5784 Ph: (714) 775-2911 |
| NPI Number | 1730395146 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4183922065 |
|---|---|
| Medicare Enrollment ID | O20160408000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730395146 | NPI | - | NPPES |
| G90494-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D36808 (California) | Primary |
| Provider Name | Tan Q Nguyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992900104 PECOS PAC ID: 6709184682 Enrollment ID: I20160412000181 |
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