DUY NGUYEN DDS, PROFESSIONAL DENTAL CORPORATION
NPI 1013491190
Clinic/Center - Dental in Pacifica, CA

Active since September 24, 2018
55 BILL DRAKE WAY STE B, PACIFICA, CA 94044(650) 735-1608(888) 509-8199 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Sep 24, 2018 (2 updates tracked since 2018).

About Duy Nguyen Dds, Professional Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUY NGUYEN DDS, PROFESSIONAL DENTAL CORPORATION (NPI 1013491190), doing business as Pacific Manor Dental, is a healthcare organization registered as a dental in Pacifica, California and active in the NPI registry since September 2018. The organization lists Duy Minh Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1013491190
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDUY NGUYEN DDS, PROFESSIONAL DENTAL CORPORATION
Location Address55 BILL DRAKE WAY STE BPacifica, CA 94044-1802
Mailing Address55 Bill Drake Way Ste BPacifica, CA 94044-1802 · (650) 735-1608 · Fax (888) 509-8199
Fax(888) 509-8199
Organization SubpartNo
Authorized OfficialDuy Minh NguyenOwner · (650) 735-1608
Enumeration DateSeptember 24, 2018
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1013491190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
55 BILL DRAKE WAY STE B, Pacifica, CA 94044

Other Names 1

Doing Business AsPacific Manor Dental

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
55 BILL DRAKE WAY STE B
PACIFICA, CA 94044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Duy Nguyen Dds, Professional Dental Corporation's NPI number?

The NPI number for Duy Nguyen Dds, Professional Dental Corporation is 1013491190. It was assigned to this organization in the NPPES registry on September 24, 2018. The provider is doing business as Pacific Manor Dental.

Where is Duy Nguyen Dds, Professional Dental Corporation located?

Duy Nguyen Dds, Professional Dental Corporation is located at 55 Bill Drake Way Ste B, Pacifica, CA 94044. The listed phone number is (650) 735-1608.

What is Duy Nguyen Dds, Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Duy Nguyen Dds, Professional Dental Corporation was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.