DR. KEVIN NGUYEN - NPI 1609711852 - Dentist in Novato, CA

Q: What is Kevin Nguyen's NPI number?

The NPI number for Kevin Nguyen is 1609711852. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Q: What is Kevin Nguyen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Nguyen was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

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About Dr. Kevin Nguyen NPPES

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

DR. KEVIN NGUYEN (NPI 1609711852) is an individual dentist in Novato, California, licensed in California (112833) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1609711852

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KEVIN NGUYEN

Location Address6090 REDWOOD BLVDNovato, CA 94945-4569

Mailing Address1 Cresta Cir Apt 6San Rafael, CA 94903-1916 · (209) 479-4119

Phone(415) 448-1500

Sole ProprietorYes

Enumeration DateApril 22, 2026

NPPES CertifiedApril 22, 2026

✔ NPI 1609711852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 112833

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

6090 REDWOOD BLVD, Novato, CA 94945

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

ANA R TAFOLLA RIOS

Social Worker (Clinical)