Lake Manassa Dental Center

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAKE MANASSA DENTAL CENTER

Practice address

7915 Lake Manassas Dr
Ste 115
Gainesville, VA 20155

Phone

(646) 641-8825

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Long Nguyen, D.D.S.

Title

Member

Phone

(646) 641-8825

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1356539100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 STANWICK SQ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554424",
            "telephone_number": "646-641-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DR",
            "address_2": "STE 115",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "646-641-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MANASSA DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LONG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-641-8825",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlena M Kriner, LISW, LCSW
• Alisan G Kula, M.D.
• Soonyou Kwon, MD
• Jessica La, FNP
• Trang T Lai, DC
• Lake Manassas Medical Psychiatry
• Lake Manassas SNF LLC
• Meghna Lama, MD
• Laurel H. Lan, PA
• Sharron Ruth Land

• Dentist in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.