INNOVATION DENTAL
NPI 1992064364
Dentist - General Practice in Stockton, CA

Active since May 04, 2012
702 PORTER AVE STE F, STOCKTON, CA 95207(209) 478-9648 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovation Dental NPPES

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

INNOVATION DENTAL (NPI 1992064364) is a healthcare organization registered as a general practice in Stockton, California and active in the NPI registry since May 2012. The organization lists Quan Vo Anh Nguyen, Ceo/ Managing Dentist, as its authorized official.

NPPES Registry Identity

NPI1992064364
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameQUAN VO ANH NGUYEN DDS INC
Location Address702 PORTER AVE STE FStockton, CA 95207-4297
Mailing Address702 Porter Ave Ste FStockton, CA 95207-4297 · (209) 478-9648
Organization SubpartNo
Authorized OfficialQuan Vo Anh NguyenCeo/ Managing Dentist · (209) 478-9648
Enumeration DateMay 4, 2012
NPI 1992064364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 46658
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.
702 PORTER AVE STE F, Stockton, CA 95207

Other Names 1

Doing Business AsInnovation Dental

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

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

Dentist
702 PORTER AVE STE F
STOCKTON, CA 95207

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 Quan Vo Anh Nguyen Dds Inc's NPI number?

The NPI number for Quan Vo Anh Nguyen Dds Inc is 1992064364. It was assigned to this organization in the NPPES registry on May 4, 2012. The provider is doing business as Innovation Dental.

Where is Quan Vo Anh Nguyen Dds Inc located?

Quan Vo Anh Nguyen Dds Inc is located at 702 Porter Ave Ste F, Stockton, CA 95207. The listed phone number is (209) 478-9648.

What is Quan Vo Anh Nguyen Dds Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Quan Vo Anh Nguyen Dds Inc was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.