Impression Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412610 Issued in VA

Legal business name

IMPRESSION DENTAL, PC

Practice address

6167 Fuller CT
Alexandria, VA 22310-2541

Phone

(703) 822-0670

Fax

(703) 822-0650

NPI assigned

Oct 7, 2009

Last updated

Oct 7, 2009By 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. Steve Hoang Nguyen, DDSNPI 1770716540

Title

Dentist

Phone

(703) 822-0670

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.

• Steve Nguyen, D.D.S.

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1770716540
  NPD (past) Authorized official

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1972838027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6167 FULLER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102541",
            "telephone_number": "703-822-0670",
            "fax_number": "703-822-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6167 FULLER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102541",
            "telephone_number": "703-822-0670",
            "fax_number": "703-822-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRESSION DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-822-0670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.