Phuong Ngoc Nguyen, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

401412250 Issued in VA

Practice address

9328 Castle Hill Rd
Springfield, VA 22153-3900

Phone

(714) 235-1324

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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

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.

• Phuong Ngoc Nguyen DMD, PLLC.

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodbridge, VA
  • NPI 1093087488
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1740490648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 DAISY REID AVE STE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927802",
            "telephone_number": "714-235-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9328 CASTLE HILL RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221533900",
            "telephone_number": "714-235-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "NGOC",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "401412250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Nguyen, PHARM.D
• Minh-Tam Nguyen
• Ngoc-Khanh Nguyen
• Nhu-Anh Nguyen, PHARMD
• Phuong Nguyen, PHARMD
• Phuong-Thao Nguyen
• Tammy Hoang Nguyen, PHARMD
• Thao Nguyen
• Thao Nguyen
• Brittany Nicholas

• Oral and Maxillofacial Surgery (Dentist) in Springfield, VA
• Providers in Springfield, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.