Active NPI
Henry Hung Hoang Nguyen, DMD
- General Practice Dentistry
- Conyers, GA
National Provider Identifier
1003424250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN122821
- Practice address
- 2005 Honey Creek Pkwy SE
Conyers, GA 30013-2975 - Phone
- (770) 929-8555
- NPI assigned
- Jul 14, 2020
- Last updated
- Jan 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN122821 | GA | Primary |
Addresses
Primary practice location
2005 Honey Creek Pkwy SE
Conyers, GA 30013-2975
Mailing address
2005 Honey Creek Pkwy SE
Conyers, GA 30013-2975
Phone (770) 929-8555
Other names 1
- Hung Hoang Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN122821 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nguyen Family Dental & Associates LLC | General Practice | Current | Accepting new patients |
| Ronald S. Cavola, DDS, PC | Dentist | Past | Accepting new patients |
| Atlanta Metro Dental Services, PLLC | General Practice | Past | Accepting new patients |
Locations
2005 Honey Creek Pkwy SE
Conyers, GA 30013
Phone (770) 929-8555
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Conyers, GA
- NPI 1760244016
-
- General Practice Dentistry
- Lilburn, GA
- NPI 1992387401
-
- Dentist
- Conyers, GA
- NPI 1518184563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1003424250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 HONEY CREEK PKWY SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132975",
"telephone_number": "770-929-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 HONEY CREEK PKWY SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132975",
"telephone_number": "770-929-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HENRY",
"middle_name": "HUNG HOANG",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-14",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN122821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HUNG",
"last_name": "NGUYEN",
"middle_name": "HOANG",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.