Gwendilynn Thu Duong, RDH,BS

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

6707 Old Dominion Dr Ste 240
MC Lean, VA 22101-4503

Phone

(703) 734-2750

Fax

(703) 734-8376

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1144845470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 OLD DOMINION DR STE 240",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014503",
            "telephone_number": "703-734-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 OLD DOMINION DR STE 240",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014503",
            "telephone_number": "703-734-2750",
            "fax_number": "703-734-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "GWENDILYNN",
        "middle_name": "THU",
        "credential": "RDH,BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mclean-dentist.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6707 Old Dominion Dr Ste 240",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221014503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nadine Dubowitz, MD
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• Staci N Dungee, LPC, CSAC
• Deborah Lee Dunman, LMSW, LCDC
• Lynn Durbin, ATC
• Kaysee Dwyer, PHARMD
• E&T Executive LLC
• Brandon Eason
• Eastern Roots Wellness, PL C

• Dental Hygienist in McLean, VA
• Providers in McLean, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.