TSBDE Dentist: NGUYEN, TAM M.T. # 19825

License Number 19825
License Rank Licensed Dentist
License Status Active
License Issue Date 07/07/1999
License Expiration Date 06/30/2022
Electronic Rx Waiver Expiration Date

Last Name NGUYEN
Former Last Name NGUYEN
First Name TAM
Middle Name M.T.
Gender Female
State TX
Zip Code 78664

Exempt Location No

Nitrous Certification Date 08/23/2002
Anesthesia Level 1 Permit Issue Date 10/12/2012
Anesthesia Level 2 Permit Issue Date No Permit
Anesthesia Level 3 Permit Issue Date No Permit
Anesthesia Level 4 Permit Issue Date No Permit
Sedation of Pediatric Patients No
Sedation of High-Risk Patients No
Type of Practice GEN,PEDO
Year Graduated 1999
Dental School UCLA
Year of Birth 1968
Public Actions
Disciplinary Action Yes
Disciplinary Action PDFs 19825_Nguyen_Tam_04-27-2012.pdf -
Remedial Plans No
Remedial Plan PDFs

CERTIFICATION OF INFORMATION: The Texas State Board of Dental Examiners certifies that it maintains the information for the license verification functions of this website, performs daily updates to the website and considers the website to be a secure, primary source for license verification.

Exempt Location status applies to dentists who hold at least a level 2 sedation permit or higher. Pursuant to Board Rule 110.18(g): Exempt-location status: During the period of exempt-location status, a permit holder may not delegate the administration of any level of sedation/anesthesia to a dental or medical professional outside a state-licensed hospital or state-licensed ambulatory surgery center. If they are later found to have administered or delegated the administration of level 2, 3, or 4 sedation/anesthesia in a non-exempt location, the Board shall pursue revocation of their dental license.

Codes for Type of Practice

DPH=Dental Public Health
GEN=General Dentistry
OMP=Oral&Maxillofacial Pathology
OMR=Oral&Maxillofacial Radiology
OMS=Oral&Maxillofacial Surgery
PEDO=Pediatric Dentistry