Active NPI
Anthony Tuan Nguyen, DDS
- General Practice Dentistry
- Smyrna, GA
National Provider Identifier
1750486726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN012153
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN012153 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Smyrna, GA
- NPI 1063660520
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.