Individual provider Active NPI

Anthony Tuan Nguyen, DDS

  • General Practice Dentistry
  • Smyrna, GA
National Provider Identifier
1750486726
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012153 Issued in GA
Practice address
969 Windy Hill Rd SE
Suite G
Smyrna, GA 30080-2003
Phone
(770) 438-6993
Fax
(770) 438-2919
NPI assigned
Sep 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN012153 GA Primary

Addresses

Primary practice location

969 Windy Hill Rd SE
Suite G
Smyrna, GA 30080-2003

Mailing address

969 Windy Hill Rd SE
Suite G
Smyrna, GA 30080-2003
Phone (770) 438-6993

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN012153GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony T. Nguyen, D.D.D., P.C. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750486726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 WINDY HILL RD SE",
            "address_2": "SUITE G",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802003",
            "telephone_number": "770-438-6993",
            "fax_number": "770-438-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 WINDY HILL RD SE",
            "address_2": "SUITE G",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802003",
            "telephone_number": "770-438-6993",
            "fax_number": "770-438-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANTHONY",
        "middle_name": "TUAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.