Provider Demographics
NPI:1407918402
Name:NGUYEN, TRINH THUY (DDS)
Entity Type:Individual
Prefix:
First Name:TRINH
Middle Name:THUY
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 1:5812 MAPLEDALE PLZ
Mailing Address - Street 2:
Mailing Address - City:DALE CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22193-4535
Mailing Address - Country:US
Mailing Address - Phone:703-580-9900
Mailing Address - Fax:703-580-0358
Practice Address - Street 1:5812 MAPLEDALE PLZ
Practice Address - Street 2:
Practice Address - City:DALE CITY
Practice Address - State:VA
Practice Address - Zip Code:22193-4535
Practice Address - Country:US
Practice Address - Phone:703-580-9900
Practice Address - Fax:703-580-0358
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010079181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics