Individual provider Active NPI

Vuong Ngoc Nguyen, DMD

  • Dentist
  • Atlanta, GA
National Provider Identifier
1831935493
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN123903 Issued in GA
Practice address
1080 Peachtree St NE Ste 2
Atlanta, GA 30309-6848
Phone
(404) 685-8605
NPI assigned
Jul 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN29285 FL
Dentist 122300000X DN123903 GA Primary

Addresses

Primary practice location

1080 Peachtree St NE Ste 2
Atlanta, GA 30309-6848

Mailing address

808 Piedmont LN
Dalton, GA 30720-4024
Phone (706) 280-3004

Other practice location 1

43522 Highway 27
Davenport, FL 33837-6812
Phone (863) 777-9890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731004711 FL Order and Referring Only - DentistPractitioner - Dentist 1254849318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN123903GAMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1831935493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 PIEDMONT LN",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307204024",
            "telephone_number": "706-280-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 PEACHTREE ST NE STE 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303096848",
            "telephone_number": "404-685-8605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43522 Highway 27",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376812",
            "country_code": "US",
            "telephone_number": "863-777-9890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VUONG",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29285",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.