Active NPI
Michael Cuu Huu Nguyen, D.M.D.
- Dentist
- Smyrna, GA
National Provider Identifier
1184804684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN012242
- Practice address
- 4480 S Cobb Dr SE Ste J
Smyrna, GA 30080-6984 - Phone
- (678) 305-9916
- Fax
- (678) 305-9867
- NPI assigned
- Nov 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN012242 | GA | Primary |
Addresses
Primary practice location
4480 S Cobb Dr SE Ste J
Smyrna, GA 30080-6984
Mailing address
4480 South Cobb Dr. Suite J
Smyrna, GA 30080
Phone (678) 305-9916
Other names 1
- Cuu Huu Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN012242 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1184804684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 SOUTH COBB DR. SUITE J",
"city": "SMYRNA",
"state": "GA",
"postal_code": "30080",
"telephone_number": "678-305-9916",
"fax_number": "678-305-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 S COBB DR SE STE J",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806984",
"telephone_number": "678-305-9916",
"fax_number": "678-305-9867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MICHAEL",
"middle_name": "CUU HUU",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-13",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN012242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CUU",
"last_name": "NGUYEN",
"middle_name": "HUU",
"credential": "D.M.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.