Individual provider Active NPI

David Le Nguyen, DDS

  • General Practice Dentistry
  • Peachtree Corners, GA
National Provider Identifier
1962997965
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN015695 Issued in GA
Practice address
5210 Town Center Blvd Ste 310
Peachtree Corners, GA 30092-3544
Phone
(470) 508-0044
NPI assigned
Jun 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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 DN015695 GA Primary

Addresses

Primary practice location

5210 Town Center Blvd Ste 310
Peachtree Corners, GA 30092-3544

Mailing address

6428 Boyett Dr
Norcross, GA 30093-3510
Phone (404) 468-2742

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
DN015695GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Dental Health, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

5210 Town Center Blvd
Ste 310
Peachtree Corners, GA 30092
Phone (470) 508-0044

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1962997965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 BOYETT DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933510",
            "telephone_number": "404-468-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 TOWN CENTER BLVD STE 310",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923544",
            "telephone_number": "470-508-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAVID",
        "middle_name": "LE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.