Provider Demographics
NPI:1427466887
Name:NGUYEN, HANH THI HONG (DDS)
Entity type:Individual
Prefix:DR
First Name:HANH
Middle Name:THI HONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 VILLAGE GREEN CT SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-4174
Mailing Address - Country:US
Mailing Address - Phone:404-200-7920
Mailing Address - Fax:
Practice Address - Street 1:4782 JIMMY CARTER BLVD STE 4
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3714
Practice Address - Country:US
Practice Address - Phone:770-925-1872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014846122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist