Joe Truong Nguyen, DDS, PHD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16983 Issued in MD

Practice address

176 Thomas Johnson Dr Ste 200
Frederick, MD 21702-4532

Phone

(301) 663-4012

NPI assigned

Aug 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Wobbly Tooth LLC

  • Dentist
  • Frederick, MD
  • NPI 1477238848
  NPD
• Vijayalakshmi Jesson DDS PC

  • Dentist
  • Beltsville, MD
  • NPI 1457841629
  NPD (past)

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1093360604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 POOKS HILL RD APT 515",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145412",
            "telephone_number": "408-444-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 THOMAS JOHNSON DR STE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024532",
            "telephone_number": "301-663-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOE",
        "middle_name": "TRUONG",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominica Ngante
• Kelly Amike Ngenge, NP
• Bradley T Nguyen
• Faith W Nguyen, CRNP
• Jessica Nguyen
• Jankey Ceesay Niasse
• Morgan Nicely
• Stephen Nicewarner, CRNP
• Amy Lynn Nicholas, MD
• Andrew Nicholas, OTR/L

• General Practice Dentistry in Frederick, MD
• Providers in Frederick, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.