Individual provider Active NPI

Linh Phuong Nguyen, DDS

  • Dentist
  • Myrtle Beach, SC
National Provider Identifier
1407533896
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DGD.11569GD Issued in SC
Practice address
2749 Agnes LN
Myrtle Beach, SC 29577-2029
Phone
(843) 213-6653
Fax
(843) 492-5993
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DGD.11569GD SC Primary

Addresses

Primary practice location

2749 Agnes LN
Myrtle Beach, SC 29577-2029

Mailing address

2749 Agnes LN
Myrtle Beach, SC 29577-2029
Phone (843) 213-6653

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

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1407533896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 AGNES LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772029",
            "telephone_number": "843-213-6653",
            "fax_number": "843-492-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 AGNES LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772029",
            "telephone_number": "843-213-6653",
            "fax_number": "843-492-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LINH",
        "middle_name": "PHUONG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.11569GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.