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Chi Thien Nguyen, DDS

Dentist, General Practice in Ruskin, FL. Individual provider (NPI-1).

NPI number1720170871
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720170871
Entity type
Individual (NPI-1)
Name
Chi Thien Nguyen
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Sep 28, 2006
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Yes · ORDER AND REFERRING ONLY - DENTIST
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN13524FLYes

Practice location

768 Cortaro Dr
Ruskin, FL 33573-6811

Phone 813-642-8885 · Fax 813-664-2889

Mailing address

Po Box 5340
Sun City Center, FL 33571-5340

Phone 813-642-8885 · Fax 813-633-8891

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.

Other General Practice Dentistry providers in Ruskin, FL

All 10 General Practice Dentistry providers in Ruskin · All 502 providers in Ruskin

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