Premium Family Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

0401410920 Issued in VA

Legal business name

PREMIUM FAMILY DENTAL PC

Practice address

6328 Richmond Hwy Ste F
Alexandria, VA 22306-6408

Phone

(703) 606-8458

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Vu Nguyen, D.D.S

Title

President

Phone

(703) 606-8458

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1063718104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 HIGHLAND PL",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 RICHMOND HWY STE F",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223066408",
            "telephone_number": "703-606-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-606-8458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010141605",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prem P. Manchanda MD, PC
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• Premier Eye Center LLC
• Premier Sleep Diagnostic Centers LLC
• Prep Providing Resources to Empower People Corp.
• Katie Presler, RDN, LD, CSSD
• Sophie Katherine Presny, DNP, APRN, FNP-BC
• Adam C Prestegord
• Prevention of Blindness Society of Metropolitan Washington Inc

• Dentist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.