Kaylie My Nguyen, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

G1-0011609 Issued in DE

Practice address

3105 Limestone Rd Ste 203
Wilmington, DE 19808-2151

Phone

(302) 995-6979

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• My T Nguyen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1013646165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CRABAPPLE CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023945",
            "telephone_number": "301-503-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD STE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082151",
            "telephone_number": "302-995-6979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5928 Hubbard Dr",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524823",
            "country_code": "US",
            "telephone_number": "301-984-1095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KAYLIE",
        "middle_name": "MY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "17482",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "DE",
            "license": "G1-0011609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MY",
            "last_name": "NGUYEN",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alice Nguyen
• An Nguyen
• Cynthia Vo Nguyen, MPH, PA-C
• Duong Thai Nguyen, PHARMD, RPH
• Eric Nguyen VI
• Keith Nguyen, D.M.D
• Linhda Nguyen, PA-C
• Nguyen P. Nguyen, CRNA
• Quyen T Nguyen, RPH
• Steven Nguyen

• Periodontics in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Periodontics in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.