Active NPI
Nhut Van Nguyen
- General Practice Dentistry
- Duluth, GA
National Provider Identifier
1912077439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN013332
- Practice address
- 3415B Duluth Highway 120
Duluth, GA 30096-3354 - Phone
- (678) 417-7709
- Fax
- (678) 417-7071
- NPI assigned
- Nov 9, 2006
- Last updated
- Apr 17, 2008
- Sex
- Male
- Sole proprietor
- No
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 | DN013332 | GA | Primary |
Addresses
Primary practice location
3415B Duluth Highway 120
Duluth, GA 30096-3354
Mailing address
3415B Duluth Highway 120
Duluth, GA 30096-3354
Phone (678) 417-7709
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 |
|---|---|---|---|
| DN013332 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duluth Dental Associates | 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.
-
- Dentist
- Duluth, GA
- NPI 1184760753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1912077439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415B DULUTH HIGHWAY 120",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963354",
"telephone_number": "678-417-7709",
"fax_number": "678-417-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415B DULUTH HIGHWAY 120",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963354",
"telephone_number": "678-417-7709",
"fax_number": "678-417-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NHUT",
"middle_name": "VAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN013332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.