Provider Demographics
NPI:1154472538
Name:NGUYEN, PHUONG-UYEN NHY (DDS)
Entity Type:Individual
Prefix:DR
First Name:PHUONG-UYEN
Middle Name:NHY
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:44095 PIPELINE PLZ
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5898
Mailing Address - Country:US
Mailing Address - Phone:703-723-7131
Mailing Address - Fax:703-723-7196
Practice Address - Street 1:44095 PIPELINE PLZ
Practice Address - Street 2:SUITE 400
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5898
Practice Address - Country:US
Practice Address - Phone:703-723-7131
Practice Address - Fax:703-723-7196
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4014112311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice