Active NPI
Emily Nguyen-Phan, DMD
- Dentist
- Richmond Hill, GA
National Provider Identifier
1295566313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123546
- Practice address
- 10104 Ford Ave Ste G
Richmond Hill, GA 31324-8849 - Phone
- (912) 445-5337
- NPI assigned
- Aug 10, 2024
- Sex
- Female
- Sole proprietor
- No
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 | DN123546 | GA | Primary |
Addresses
Primary practice location
10104 Ford Ave Ste G
Richmond Hill, GA 31324-8849
Mailing address
10104 Ford Ave Ste G
Richmond Hill, GA 31324-8849
Phone (912) 445-5337
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 |
|---|---|---|---|
| DN123546 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1295566313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10104 FORD AVE STE G",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313248849",
"telephone_number": "912-445-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10104 FORD AVE STE G",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313248849",
"telephone_number": "912-445-5337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN-PHAN",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-10",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.