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POMONA VALLEY DENTAL PRACTICE
NPI 1104023647
Preferred Provider Organization in Pomona, CA

Active since June 28, 2007
1290 N GAREY AVE, POMONA, CA 91767(909) 623-1564(909) 629-9126 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pomona Valley Dental Practice NPPES

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

POMONA VALLEY DENTAL PRACTICE (NPI 1104023647) is a healthcare organization registered as a preferred provider organization in Pomona, California and active in the NPI registry since June 2007. The organization lists Anthony Dung Nguyen, President, as its authorized official.

NPPES Registry Identity

NPI1104023647
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameANTHONY D. NGUYEN, DDS, INC
Location Address1290 N GAREY AVEPomona, CA 91767-3806
Mailing Address1290 N Garey AvePomona, CA 91767-3806 · (909) 623-1564 · Fax (909) 629-9126
Phone(909) 623-1564
Fax(909) 629-9126
Organization SubpartNo
Authorized OfficialAnthony Dung NguyenPresident · (909) 623-1564
Enumeration DateJune 28, 2007
Last NPPES UpdateNovember 13, 2007
✔ NPI 1104023647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in CA · 47971
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1290 N GAREY AVE, Pomona, CA 91767
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Other Names 1

Doing Business AsPomona Valley Dental Practice

Other Identifiers 1

MedicaidB4797101CA

Other Providers at the Same Location NPPES

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

DR. ANTHONY D NGUYEN DDS
Dentist (General Practice)
1290 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-1564

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 Anthony D. Nguyen, Dds, Inc's NPI number?

The NPI number for Anthony D. Nguyen, Dds, Inc is 1104023647. It was assigned to this organization in the NPPES registry on June 28, 2007. The provider is doing business as Pomona Valley Dental Practice.

Where is Anthony D. Nguyen, Dds, Inc located?

Anthony D. Nguyen, Dds, Inc is located at 1290 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 623-1564.

What is Anthony D. Nguyen, Dds, Inc's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Anthony D. Nguyen, Dds, Inc was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.