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Cuong Phu Nguyen, DDS
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1538633813

Cuong Phu Nguyen is a Student in an Organized Health Care Education/Training Program based in Ronkonkoma, NY. Cuong Phu Nguyen practices in Stony Brook, NY and has the professional credentials of DDS. The NPI Number for Cuong Phu Nguyen is 1538633813 and holds a License No. 2901601178 (New York).

The current practice location address for Cuong Phu Nguyen is 151 Westchester Hall, Stony Brook, NY and can be reached out via phone at 631-444-2557.

Location: 151 Westchester Hall, Stony Brook, NY, 11779-2792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538633813
Provider Name
Cuong Phu Nguyen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
151 Westchester Hall, Stony Brook, NY, 11779-2792
Phone Number
631-444-2557
Fax Number
Provider Enumeration Date
01/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
151 Westchester Hall
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2557
Fax Number
person
Provider Business Mailing Address Details
Address
151 Westchester Hall
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2557
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
()
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2901601178 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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