Provider Demographics
NPI:1689887523
Name:NGUYEN, LINH (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINH
Middle Name:
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 1:25055 RIDING PLZ
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SOUTH RIDING
Mailing Address - State:VA
Mailing Address - Zip Code:20152-5917
Mailing Address - Country:US
Mailing Address - Phone:703-327-9935
Mailing Address - Fax:703-327-9976
Practice Address - Street 1:25055 RIDING PLZ
Practice Address - Street 2:SUITE 210
Practice Address - City:SOUTH RIDING
Practice Address - State:VA
Practice Address - Zip Code:20152-5917
Practice Address - Country:US
Practice Address - Phone:703-327-9935
Practice Address - Fax:703-327-9976
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014110201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice