Vicky Nguyen DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

DN011814 Issued in GA

Legal business name

VICKY NGUYEN DDS PC

Practice address

969 Windy Hill Road
Suite J
Smyrna, GA 30080

Phone

(770) 431-9578

Fax

(770) 438-2919

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Vicky Nguyen, DDS

Title

President Dentist

Phone

(770) 431-9578

Specialties & licenses 2

Addresses

Other identifiers 6

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Hao Nguyen, DDS

  • Dentist
  • Smyrna, GA
  • NPI 1942211933
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265503940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 WINDY HILL ROAD",
            "address_2": "SUITE J",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-431-9578",
            "fax_number": "770-438-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 WINDY HILL ROAD",
            "address_2": "SUITE J",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-431-9578",
            "fax_number": "770-438-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKY NGUYEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "PRESIDENT  DENTIST",
        "authorized_official_telephone_number": "770-431-9578",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011814",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "100488",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "108026",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9180328",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00802194B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "166402",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "39274",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Miles Vasquez, M.S., CCC-SLP
• Matthew G Vaughn, L.P.C.
• Lauren Grace Ver Meulen, OTD, OTR/L
• Carmi Verano
• Verbal Image, LLC
• Victoria Counseling & Consulting, LLC
• Alexa Vieira
• Keren N/a Vilceus
• Village Health Georgia, P.C.
• Village Podiatry Group, LLC.

• Dentist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.