Organization · Type 2 NPI

Dr. Jacqueline B. Nguyen, Dds, Apc

Dental Clinic/Center · San Jose, CA

NPI number 1295203941 Active

Practice location

2847 S White Rd Ste 204
San Jose, CA 95148-2942

Fax (408) 238-8404

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Pyr Purewal DDS IncDental Clinic/Center San Jose, CA NPI 1952119182

Other dental clinic/center providers in San Jose

See all in San Jose →

NPI record

NPI: 1295203941
Entity type: Organization (Type 2)
Issued: Nov 9, 2018
Last updated: Dec 21, 2018
Status: Active

Other names

<unavail>
Evergreen Dentists · doing business as
Evergreen Dentists · doing business as

Authorized official

Dr. Jacqueline B Nguyen, DDS
Owner/president
(408) 472-4749

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295203941

Dr. Jacqueline B. Nguyen, Dds, Apc's National Provider Identifier is 1295203941, issued on Nov 9, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Jose, CA. The record was last updated on Dec 21, 2018.