Ly Nguyen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24948 Issued in FL

Practice address

1540 Cornerstone Blvd Ste 100
Daytona Beach, FL 32117-7144

Phone

(386) 243-9950

NPI assigned

Jun 12, 2020

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• L & L DB, LLC

  dba Dental USA

  • Dental Clinic/Center
  • Daytona Beach, FL
  • NPI 1780172791
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1134744477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 LOMA DEL SOL DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338966552",
            "telephone_number": "215-954-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 CORNERSTONE BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177144",
            "telephone_number": "386-243-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Madison St Ste P",
            "address_purpose": "LOCATION",
            "city": "Webb City",
            "state": "MO",
            "postal_code": "648702426",
            "country_code": "US",
            "telephone_number": "417-451-1566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020015889",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Next Step Home Care Agency
• NF Manor LLC (Seaside Health and Rehabilitation Center)
• Phi-Yen Nguyen-Tuong, MD
• David Nguyen, DO
• Huong Thien Nguyen, DMD
• Timothy Allen Nicastro Jr., DNP
• Elizabeth Paige Nicks, LMHC
• Kenneth Edward Nida, P.A.
• Michele Niedermeyer, APRN
• Caitlin Nies, LMT

• General Practice Dentistry in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.