Christy Quynh Anh Van, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123468 Issued in GA

Practice address

100 Fischer Marketplace LN Ste 100
Sharpsburg, GA 30277-3680

Phone

(470) 347-1079

NPI assigned

Jul 8, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia Dental Professionals, PC

  • General Practice Dentistry
  • Sharpsburg, GA
  • NPI 1437992401
  NPD

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1295571206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 SPRINGDALE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FISCHER MARKETPLACE LN STE 100",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773680",
            "telephone_number": "470-347-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "CHRISTY",
        "middle_name": "QUYNH ANH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Taylor, M.A., CCC-SLP
• Misty Taylor
• The Doctor'S Office, LLC
• Anjali Latisha Trambadia, PA
• Kyle L Tucci, NP
• David Edgar Vann, M.D.
• George Joseph Vellanikaran, MD
• Annette Venaducci, M. ED., CCC-SLP
• Elsa Vicente, LPC
• Lisa Ann Washington, C.O.T.A/L

• General Practice Dentistry in Sharpsburg, GA
• Providers in Sharpsburg, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.