Provider Demographics
NPI:1528672078
Name:NGUYEN, CHRISTOPHER HIEU-THANH (DDS)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:HIEU-THANH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 BELCOURT AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3540
Mailing Address - Country:US
Mailing Address - Phone:703-314-8621
Mailing Address - Fax:
Practice Address - Street 1:2111 BELCOURT AVE STE 201
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3540
Practice Address - Country:US
Practice Address - Phone:615-322-2377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014171001223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice