Provider Demographics
NPI:1205073087
Name:BAIK, DUONG, MA, NGUYEN & ASSOCIATES
Entity type:Organization
Organization Name:BAIK, DUONG, MA, NGUYEN & ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DDS/ VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:AT
Authorized Official - Last Name:MA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-527-3888
Mailing Address - Street 1:1050 N HIGHLAND ST
Mailing Address - Street 2:SUITE 300 (THIRD FLOOR)
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2196
Mailing Address - Country:US
Mailing Address - Phone:703-527-3888
Mailing Address - Fax:703-527-2038
Practice Address - Street 1:1050 N HIGHLAND ST
Practice Address - Street 2:SUITE 300 (THIRD FLOOR)
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2196
Practice Address - Country:US
Practice Address - Phone:703-527-3888
Practice Address - Fax:703-527-2038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014112321223E0200X
VA04014109831223G0001X
VA04014104211223G0001X
VA04014122501223S0112X
VA04014123341223X0400X
VA04014107211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty