Provider Demographics
NPI:1396124327
Name:TRINH K. NGUYEN, D.D.S., P.C.
Entity type:Organization
Organization Name:TRINH K. NGUYEN, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF DENTAL SURGERY
Authorized Official - Prefix:DR
Authorized Official - First Name:TRINH
Authorized Official - Middle Name:K
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:770-452-0630
Mailing Address - Street 1:5150 BUFORD HWY.,
Mailing Address - Street 2:SUITE #C290
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30340-6013
Mailing Address - Country:US
Mailing Address - Phone:770-452-0630
Mailing Address - Fax:770-415-0754
Practice Address - Street 1:5150 BUFORD HWY.,
Practice Address - Street 2:SUITE #C290
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30340-6013
Practice Address - Country:US
Practice Address - Phone:770-452-0630
Practice Address - Fax:770-415-0754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty