| Vicky Nguyen DDS PC | |
|
969 Windy Hill Road Suite J Smyrna GA 30080 | |
| (770) 431-9578 | |
| (770) 438-2919 |
| Full Name | Vicky Nguyen DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 969 Windy Hill Road, Smyrna, Georgia |
| Authorized Official Name and Position | Vicky Nguyen (PRESIDENT DENTIST) |
| Authorized Official Contact | 7704319578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicky Nguyen DDS PC 969 Windy Hill Road Suite J Smyrna GA 30080 Ph: (770) 431-9578 | Vicky Nguyen DDS PC 969 Windy Hill Road Suite J Smyrna GA 30080 Ph: (770) 431-9578 |
| NPI Number | 1265503940 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265503940 | NPI | - | NPPES |
| 39274 | Other | GA | AVESIS |
| 166402 | Other | GA | DORAL |
| 100488 | Other | GA | AVESIS |
| 00802194B | Medicaid | GA | |
| 108026 | Other | GA | DORAL |
| 9180328 | Other | GA | DORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44962 (California) | Secondary |
| 122300000X | Dentist | DN011814 (Georgia) | Primary |
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