Organization Active NPI

Heather Nguyen DDS, LLC

Doing business as Great Smiles Dental Care

  • Dental Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1366273625
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HEATHER NGUYEN DDS, LLC
Doing business as
Great Smiles Dental Care
Practice address
610 Professional Dr Ste 250
Gaithersburg, MD 20879-3466
Phone
(301) 963-5555
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Dr. Heather Nguyen, DDSNPI 1427254408
Title
Doctor
Phone
(301) 963-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

610 Professional Dr Ste 250
Gaithersburg, MD 20879-3466

Mailing address

610 Professional Dr Ste 250
Gaithersburg, MD 20879-3466
Phone (301) 963-5555

Other names 1

  • Great Smiles Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

610 Professional Dr
Ste 250
Gaithersburg, MD 20879
Phone (301) 963-5555

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1366273625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR STE 250",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793466",
            "telephone_number": "301-963-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR STE 250",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793466",
            "telephone_number": "301-963-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER NGUYEN DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-963-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smiles Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.