Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nguyen Dazzling Smile Dental Group Corp

Organization Dentist · NPI 1639817166

Nguyen Dazzling Smile Dental Group Corp provides Dentist services in Costa Mesa, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

204 E 17th St Ste 201
Costa Mesa, CA 92627-7300
Phone: (949) 674-5333
Fax: (949) 674-5322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1639817166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anisha Nguyen — Owner · (714) 651-6725
Other names Nguyen Dazzling Smile Dental Group Corp.
NPI enumeratedMay 24, 2022
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022
Mailing address204 E 17th St Ste 201, Costa Mesa, CA 92627-7300

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