Duc Trung Nguyen, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DN015372 Issued in GA

Practice address

55 Freedom Pkwy Ste 104
Hoschton, GA 30548-1996

Phone

(706) 658-2383

Fax

(706) 658-2396

NPI assigned

May 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nick Nguyen DDS LLC

  • Dental Clinic/Center
  • Hoschton, GA
  • NPI 1144813510
  NPD Authorized official
• Roswell Smiles Dentistry, PC

  • General Practice Dentistry
  • Alpharetta, GA
  • NPI 1326424532
  NPD (past)

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

{
    "created_epoch": "1494115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1710413901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225506",
            "telephone_number": "770-380-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FREEDOM PKWY STE 104",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305481996",
            "telephone_number": "706-658-2383",
            "fax_number": "706-658-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUC TRUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-07",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MPT Pharmacy LLC
• Mulberry Counseling, LLC
• Suchi Mulji, APRN, FNP-C
• Nicholas Najor, PT, DPT
• Alice Veciunca Necula, M.ED., CCC-SLP
• Nick Nguyen DDS LLC
• Johnathon Steven Nolen, PA-C
• North Georgia Spine and Interventional Orthopedics LLC
• Northeast Georgia Hearing Aid Center LLC
• Northeast Georgia Orthopaedics & Sports Medicine, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.