Provider Demographics
NPI:1023305422
Name:DINH, DENNIS NGUYEN (DMD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:NGUYEN
Last Name:DINH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2429 LIMESTONE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-1813
Mailing Address - Country:US
Mailing Address - Phone:817-919-0791
Mailing Address - Fax:
Practice Address - Street 1:811 NE ALSBURY BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-2668
Practice Address - Country:US
Practice Address - Phone:817-500-9135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX271411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX27141OtherSTATE LICENSE