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PHUONG NGOC NGUYEN DMD PLLC. NPI 1093087488


NPI Information

NPI: 1093087488
Provider Name: PHUONG NGOC NGUYEN DMD, PLLC.

Doing Business As: WOODBRIDGE ORAL & MAXILLOFACIAL SURGERY CENTER

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4585 DAISY REID AVE STE 105
WOODBRIDGE, VA
ZIP 22192
Phone: (703) 670-6886
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PHUONG NGOC NGUYEN DMD, PLLC. is an oral and maxillofacial surgery dentist in Woodbridge, VA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PHUONG NGOC NGUYEN DMD, PLLC. NPI is 1093087488. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Woodbridge Oral & Maxillofacial Surgery Center.

The provider's business location address is:

4585 DAISY REID AVE STE 105
WOODBRIDGE, VA
ZIP 22192-802
Phone: (703) 670-6886
Fax: (703) 670-3108

The provider's authorized official is Phuong Ngoc Nguyen .
The authorized official title is President and has the following contact phone number (714) 235-1324.

The enumeration date for this NPI number is 2/1/2012 and was last updated on 2/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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