Individual provider Active NPI

Nguyen Mai, DMD

  • General Practice Dentistry
  • Lawrenceville, GA
National Provider Identifier
1386440568
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN123623 Issued in GA
Practice address
845 Scenic Hwy Ste 300
Lawrenceville, GA 30046-7104
Phone
(770) 277-5588
NPI assigned
Feb 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN123623 GA Primary

Addresses

Primary practice location

845 Scenic Hwy Ste 300
Lawrenceville, GA 30046-7104

Mailing address

600 Shiney Brook LN
Lawrenceville, GA 30044-6632
Phone (404) 395-6911

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

LicenseStateTypeSpecialty
DN123623GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Dental Inc General Practice PastSince Mar 11, 2025 Accepting new patients
Reach Dental PC General Practice PastSince Mar 11, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1386440568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SHINEY BROOK LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446632",
            "telephone_number": "404-395-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SCENIC HWY STE 300",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467104",
            "telephone_number": "770-277-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "NGUYEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.