Provider Demographics
NPI:1629017918
Name:NGUYEN, ASHLEY SUONG (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:SUONG
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 1:901 N WASHINGTON ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-5509
Mailing Address - Country:US
Mailing Address - Phone:703-706-9564
Mailing Address - Fax:703-706-9588
Practice Address - Street 1:901 N WASHINGTON ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-5509
Practice Address - Country:US
Practice Address - Phone:703-706-9564
Practice Address - Fax:703-706-9588
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010079081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice