Khiem Ngoc Truong, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN015527 Issued in GA

Practice address

4013 Winder Hwy
Flowery Branch, GA 30542-3022

Phone

(678) 673-3243

NPI assigned

Mar 21, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Imagix Dental of Alpharetta LLC

  • Dentist
  • Alpharetta, GA
  • NPI 1497123939
  NPD (past)
• JPC Dental Group

  dba Milton Dental Specialists

  • Dentist
  • Milton, GA
  • NPI 1578940904
  NPD (past)

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1508397704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 WINDER HWY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423022",
            "telephone_number": "404-421-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 WINDER HWY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423022",
            "telephone_number": "678-673-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11125 Jones Bridge Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "30022",
            "country_code": "US",
            "telephone_number": "770-569-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 7th St",
            "address_purpose": "LOCATION",
            "city": "Robins AFB",
            "state": "GA",
            "postal_code": "310982227",
            "country_code": "US",
            "telephone_number": "478-327-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "KHIEM",
        "middle_name": "NGOC",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN015527",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Michelle Thompson, LPC
• Benjamin Edward Thrailkill
• Calista Gaetana Tomasetti, MS
• Jessica Palpailin Tran
• TRN Empower Group Inc.
• Clinton Thomas Tucker, PHARMD
• Marsha Tucker, LPTA
• Brooke Williams Turk, LPC
• Turner Chiropractic Services, P.C. (Flowery Branch Chiropractic)
• Christopher Alan Turner, DC

• Pediatric Dentistry in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.