Provider Demographics
NPI:1174783278
Name:NGUYEN, JAMES DUYHIEN (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DUYHIEN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 CALLIOPE ST
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4631
Mailing Address - Country:US
Mailing Address - Phone:954-661-6208
Mailing Address - Fax:
Practice Address - Street 1:1525 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7120
Practice Address - Country:US
Practice Address - Phone:954-661-6208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN183321223X0400X, 1223X0400X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016969400Medicaid