Tin Duc Nguyen DMD and Lan Thi Ngoc Nguyen DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60512243 Issued in WA

Legal business name

TIN DUC NGUYEN DMD AND LAN THI NGOC NGUYEN DMD, PLLC

Doing business as

Forever Smiles Family Dental

Practice address

4528 W 26TH Ave Ste 110
Kennewick, WA 99338-1863

Phone

(509) 591-4267

NPI assigned

Aug 14, 2018

Last updated

Jul 1, 2020By 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. Tin Nguyen, DMD

Title

General Dentist

Phone

(509) 591-4267

Specialties & licenses 1

Addresses

Other names 1

• Forever Smiles Family Dental Doing business as

Locations

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.

• Lan Thi Ngoc Nguyen, DMD

  • Dentist
  • Kennewick, WA
  • NPI 1336556372
  NPD

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1730668310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 W 26TH AVE STE 110",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381863",
            "telephone_number": "509-591-4267",
            "fax_number": "509-628-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 W 26TH AVE STE 110",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381863",
            "telephone_number": "509-591-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIN DUC NGUYEN DMD AND LAN THI NGOC NGUYEN DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TIN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "509-591-4267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60512243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Smiles Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forever Smiles Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milo Thurber, D.C.
• Veronica Thurman
• Princess Atwere - Akosah Tiakor
• Kristopher Richard Tidwell, PHARMD
• Christopher Douglas Timmins, LCSW
• Angelia Christine Tinnin
• Lynn Marie Tisdale
• Todd Cooper, DDS, Tyson Teeples, DMD, MD, Ryan Toponce, DMD, PS.
• Candice Todd
• Ciera Anne Todd, DO

• General Practice Dentistry in Kennewick, WA
• Providers in Kennewick, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.