Phuong Ngoc Nguyen DMD, PLLC.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PHUONG NGOC NGUYEN DMD, PLLC.

Practice address

4585 Daisy Reid Ave Ste 105
Woodbridge, VA 22192-7802

Phone

(703) 670-6886

Fax

(703) 670-3108

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Phuong Ngoc Nguyen, DMDNPI 1740490648

Title

President

Phone

(714) 235-1324

Specialties & licenses 1

Addresses

Other names 1

• Woodbridge Oral & Maxillofacial Surgery Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phuong Ngoc Nguyen, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Springfield, VA
  • NPI 1740490648
  NPD (past) Authorized official

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1093087488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 DAISY REID AVE STE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927802",
            "telephone_number": "703-670-6886",
            "fax_number": "703-670-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 DAISY REID AVE STE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927802",
            "telephone_number": "703-670-6886",
            "fax_number": "703-670-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUONG NGOC NGUYEN DMD, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-235-1324",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbridge Oral & Maxillofacial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linh Phan, DDS
• Thoaivan Phan, D.D.S
• Pharmacy One LLC
• Abigail Atienza Phillips, CRNP
• Brenda Phoeuk, OT
• Physical Medicine Associates LTD
• Physicians for Ultrasound
• Nikeylah Summone Pickens, LMT
• Audriana Pickett
• Joanna Pierce, M.A. LPC

• Oral and Maxillofacial Surgery (Dentist) in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.