Provider Demographics
NPI:1518474071
Name:BARCROFT DENTISTRY, LLC
Entity Type:Organization
Organization Name:BARCROFT DENTISTRY, LLC
Other - Org Name:HUNG M. NGUYEN,DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUNG
Authorized Official - Middle Name:MINH
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-892-4525
Mailing Address - Street 1:939 S WAKEFIELD ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-3084
Mailing Address - Country:US
Mailing Address - Phone:703-892-4525
Mailing Address - Fax:703-892-4524
Practice Address - Street 1:939 S WAKEFIELD ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-3084
Practice Address - Country:US
Practice Address - Phone:703-892-4525
Practice Address - Fax:703-892-4524
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUNG M. NGUYEN, DDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410232261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental