Mary Nguyen

Primary specialty

DentistTaxonomy code 122300000X

License

DN122870 Issued in GA

Practice address

3515 Highway 138 SE
Stockbridge, GA 30281-7821

Phone

(470) 713-2776

NPI assigned

Mar 30, 2022

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

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1528708476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 HIGHWAY 138 SE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817821",
            "telephone_number": "470-713-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 HIGHWAY 138 SE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817821",
            "telephone_number": "470-713-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delanie Newberry, PHARMD
• Sarai Newsome
• Lashanna Newton, EDD, CRC, NCC, LPC
• Next Level Therapy and Wellness Services, LLC
• Anne Aurelie Ngo Tedga Moche, M.D.
• Thuy-an Hoang Nguyen
• Anum Amir Niazi, M.D.
• Makeda Nichols, CCMA
• Charolette Nicholson, BSN, RN
• Charlyne Anne Arellano Nicolas, DNP, APRN, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.