Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dinh Khoa Nguyen

Individual provider Dentist · NPI 1558943159

Dinh Khoa Nguyen is a Dentist in Santa Rosa, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1110 N Dutton Ave
Santa Rosa, CA 95401-4606
Phone: (707) 303-3395
Fax: (707) 303-3181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 112256 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1558943159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Santa Rosa