Tan Binh Nguyen, DDS II, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

9227 Issued in NC

Legal business name

TAN BINH NGUYEN, DDS II, PLLC

Practice address

5511 Raeford Rd Ste 225
Fayetteville, NC 28304-2060

Phone

(910) 485-0023

NPI assigned

Mar 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tan Binh Phan Nguyen, D.D.S.

Title

Owner/ Manager

Phone

(678) 761-2457

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolina Comfort Dental Doing business as

Locations

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1174916902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 THORNGROVE CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034099",
            "telephone_number": "910-263-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD RD STE 225",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042060",
            "telephone_number": "910-485-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN BINH NGUYEN, DDS II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAN BINH",
        "authorized_official_middle_name": "PHAN",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "678-761-2457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "9227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918338",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Comfort Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanja Taliaferro
• Daniel Thomas Talley, MD
• Carrie Sacco Tally, MSW
• Asia Talmadge
• Tameika Hill
• Jonas Rojas Tan, LPT
• Mieko Tanaka, AU.D.
• Tandempath Diagnostics PC
• Katheryn Joy Tandon, M.A. L.P.C
• Dana Thi Tang, DDS

• Dentist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.