DR. BAOANH NGUYEN D.M.D
NPI 1346274917
Dentist - General Practice in Phoenix, AZ

Active since July 10, 2006
4017 N 75TH AVE, PHOENIX, AZ 85033(623) 907-9334(623) 474-2876 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2023, Apr 26, 2018 (2 updates tracked since 2018).

About Dr. Baoanh Nguyen D.m.d NPPES

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

DR. BAOANH NGUYEN D.M.D (NPI 1346274917) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (5994) and active in the NPI registry since July 2006. She maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1346274917
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BAOANH NGUYENCredential: D.M.D
Location Address4017 N 75TH AVEPhoenix, AZ 85033-3728
Mailing Address4017 N 75th AvePhoenix, AZ 85033-3728 · (623) 907-9334 · Fax (623) 474-2876
Fax(623) 474-2876
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
NPI 1346274917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · 5994
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4017 N 75TH AVE, Phoenix, AZ 85033

Other Names 1

Other Name (5)Dr. Mimi Baoanh Nguyen Dmd

Secondary Practice Location 1

Location 17435 W Lower Buckeye Rd Ste 108Phoenix, AZ 85043-7636 · Phone (623) 907-9334

Other Identifiers 1

Medicaid1346274917AZ

Accepted Insurance

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
4017 N 75TH AVE
PHOENIX, AZ 85033

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 Baoanh Nguyen's NPI number?

The NPI number for Baoanh Nguyen is 1346274917. It was assigned to this individual provider in the NPPES registry on July 10, 2006. The provider is also known as Dr. Mimi Baoanh Nguyen Dmd.

Where is Baoanh Nguyen located?

Baoanh Nguyen practices at 4017 N 75th Ave, Phoenix, AZ 85033. The listed phone number is (623) 907-9334.

What is Baoanh Nguyen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Baoanh Nguyen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Baoanh Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baoanh Nguyen was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.