Dr. Cuong Gia Nguyen, D.D.S.
Dentist, General Practice in Kittery, ME. Individual provider (NPI-1).
NPI number1306804174
StatusActive
Last updated in NPPESApr 1, 2021
Details
- NPI
- 1306804174
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cuong Gia Nguyen
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 2, 2006
- Certification date
- Mar 10, 2021
- Last updated
- Apr 1, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 04036 | NH | Yes |
Practice location
1 Ayres Circle, Bldg H-1Kittery, ME 03904
Phone 207-438-1714
Mailing address
9 Coates LnHaverhill, MA 01835-7002
Phone 603-402-8239
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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