Nguyen Family Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NGUYEN FAMILY DENTISTRY PC

Doing business as

Nguyen Bath Family Dentistry

Practice address

5815 E. Clark Rd.
Bath, MI 48808-4880

Phone

(517) 641-6778

Fax

(517) 641-7937

NPI assigned

Jun 28, 2022

Last updated

Jun 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phu Huu Hoang NguyenNPI 1154420040

Title

Owner

Phone

(517) 641-6778

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nguyen Bath Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phu Huu Hoang Nguyen, D.D.S.

  • Dentist
  • Howell, MI
  • NPI 1154420040
  NPD Authorized official

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1669104725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "BATH",
            "state": "MI",
            "postal_code": "48808",
            "telephone_number": "517-641-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 E. CLARK RD.",
            "city": "BATH",
            "state": "MI",
            "postal_code": "488084880",
            "telephone_number": "517-641-6778",
            "fax_number": "517-641-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHU",
        "authorized_official_middle_name": "HUU HOANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-641-6778",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154420040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nguyen Bath Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Matsumoto, PA-C
• Joan C. Mattson, M.D.
• Michael Andrew McDonald, PHARM.D
• Lynn Anne Myers
• Next Generation Counseling
• Gretchen Paige, LPC
• Susan M Palac, MD
• Susan Pope
• Prime Recovery and Rehabilitation PLLC
• Scott M Reschke, MA, LLPC

• Dental Clinic/Center in Bath, MI
• Providers in Bath, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.