Dung Ly Nguyen, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41755 Issued in CA

Legal business name

DUNG LY NGUYEN, DDS, INC

Practice address

4310 Euclid Ave Ste a
San Diego, CA 92115-4995

Phone

(619) 281-6777

Fax

(619) 281-1987

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dung Ly Nguyen, D.D.SNPI 1467887943

Title

Owner

Phone

(619) 281-6777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dung Ly Nguyen Sr., DDS

  • Dentist
  • San Diego, CA
  • NPI 1467887943
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922170612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 EUCLID AVE STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154995",
            "telephone_number": "619-281-6777",
            "fax_number": "619-281-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 EUCLID AVE STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154995",
            "telephone_number": "619-281-6777",
            "fax_number": "619-281-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNG LY NGUYEN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "LY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-281-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Elizabeth Duncan, BA
• Raina Rose Duncan
• Taylor Zachary Duncan, DO
• Tessa Duncan
• Katelyn Chelsea Dunford
• Dung Minh Pham DDS Inc.
• Dung T.P. Nguyen Dental Corporation
• Jessica Lynn Dungan
• Roquette Marie Dungan, LCSW
• Jennifer Joy Dunkin, PH.D.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.