Provider Demographics
NPI:1689369514
Name:DUY CHAU NGUYEN DDS PLLC
Entity Type:Organization
Organization Name:DUY CHAU NGUYEN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DUY
Authorized Official - Middle Name:CHAU
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-688-2454
Mailing Address - Street 1:8160 DOUGLAS FIR DR
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-5657
Mailing Address - Country:US
Mailing Address - Phone:703-688-2454
Mailing Address - Fax:
Practice Address - Street 1:9142 RICHMOND HWY STE A
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-1315
Practice Address - Country:US
Practice Address - Phone:703-688-2454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty