JACK NGUYEN, DDS, PLLC (NPI# 1285111617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285111617 |
| Entity Type | Organization |
| Organization Name | JACK NGUYEN, DDS, PLLC |
| Practice Address |
2654 W Horizon Ridge Pkwy Ste B5-346 Henderson NV 89052-2803 |
| Practice Telephone | 3107109960 |
| Mailing Telephone | 3107109960 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | DR. JACK NGUYEN (DOCTOR/OWNER) |
| Authorized Official Telephone | 3107109960 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2654 W Horizon Ridge Pkwy Ste A4, Henderson, NV 890522803 | 3107109960 |
| Street Address |
2654 W HORIZON RIDGE PKWY STE B5-346 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227383 | Steven Hadawar | Dentist | 3519 Saint Rose Pkwy Ste 110, Henderson, NV 89052-4598 | 2020-08-26 |
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1508411232 | Luz Gizelle Jaramillo-lyoubi | Dentist | 1351 W Sunset Rd Ste 100, Henderson, NV 89014-8608 | 2019-08-08 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1588139026 | Roseman University of Health Sciences, A Nevada Non-profit Corp | Dentist | 4 Sunset Way Ste B, Henderson, NV 89014-2015 | 2018-10-11 |
| 1114408820 | Matthew Pineda Manas | Dentist | 2790 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-3997 | 2018-08-22 |
| 1427575307 | Griffin Davis Park | Dentist | 366 W. Lake Mead Pkwy, St. 100, Henderson, NV 89105 | 2017-08-23 |
| 1013460872 | Robert Blackburn Jr. | Dentist | 211 Burning Tree Dr, Henderson, NC 27537-9607 | 2016-07-28 |
| 1407212624 | Toothfairy Children's Dental | Dentist | 10925 S Eastern Ave Ste 130, Henderson, NV 89052-5214 | 2016-01-04 |
| 1700261534 | Bianca Camille Velayo | Dentist | 2570 Wigwam Pkwy, Ste. 110, Henderson, NV 89074-6226 | 2015-07-22 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on JACK NGUYEN, DDS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.