NPIMap

Alan Nguyen, D.D.S.

Individual provider Active NPI General Practice Dentistry · Bryant, AR

NPI 1689129447 · NPPES record last updated Jan 14, 2021

Key facts

NPI
1689129447
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
4131 (AR)
Practice address
4909 Highway 5 N # 700
Bryant, AR 72022-7002
Phone
(501) 847-9191
Fax
(501) 847-8337
NPI assigned
Aug 22, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4131ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A M Nguyen DDS Inc Current Accepting new patients
Dr. Alan Nguyen DDS Current
since Jan 17, 2021		 Accepting new patients
A Matthew Nguyen DDS Corp. Current Accepting new patients

Locations

4909 Highway 5 N
Ste 700
Bryant, AR 72022
Phone (501) 847-9191

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4131 AR Yes

Addresses

Primary practice location

4909 Highway 5 N # 700
Bryant, AR 72022-7002

Mailing address

612 W Commerce Dr Ste 1
Bryant, AR 72022-7517
Phone (501) 847-9191

Other providers in Bryant, AR

All providers in Bryant, AR · General Practice Dentistry in Arkansas

Sources for this page

Verify at the official NPI Registry.