Thanh Nguyen

Primary specialty

DentistTaxonomy code 122300000X

License

DN122308 Issued in GA

Practice address

790 Glenwood Ave SE Ste 210
Atlanta, GA 30316-2024

Phone

(404) 260-4767

NPI assigned

Jun 17, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Glenwood Park Dentistry, PC

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1053769265

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1528637287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 IVAN ALLEN JR BLVD NW UNIT 2307",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083061",
            "telephone_number": "832-351-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GLENWOOD AVE SE STE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162024",
            "telephone_number": "404-260-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quoc Bao Hoa Nguyen, MD
• Rebecca Adams Nguyen, MS, LMFT
• Richard N Nguyen, AA
• Sasa Nguyen
• Suong Thu Nguyen, MD
• Thanh Nguyen, MD
• Thao Minh Nguyen, MD
• Thao Trinh Nguyen
• Thien Nga Tran Nguyen, PA-C
• Thinh Duc Nguyen, M.D.

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.