NORTHSIDE DENTAL PRACTICE – NPI #1750446712
Clinic/Center

NORTHSIDE DENTAL PRACTICE is an AHC clinic located in FRESNO, CA. NPPES has assigned the NPI number 1750446712 to NORTHSIDE DENTAL PRACTICE on December 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHSIDE DENTAL PRACTICE” is a dba name, the actual legal business name for this organization is TINA H NGUYEN DDS INC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHSIDE DENTAL PRACTICE below.

NPI Profile for
TINA H NGUYEN DDS INC

NPI Number
1750446712
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TINA H NGUYEN DDS INC
Doing Business As (dba): NORTHSIDE DENTAL PRACTICE
Primary location
8835 N CEDAR AVE
FRESNO, CA 93720
Phone: (559) 446-1350 Fax: (559) 446-1042
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TINA NGUYEN
DENTIST
Phone: (554) 446-1350
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.