Individual
HENRY CHUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1394 INDIAN TRAIL LILBURN RD, SUITE 301, NORCROSS, GA 30093-2677
(770) 921-9792
(770) 921-9009
Mailing address
1394 INDIAN TRAIL LILBURN RD, SUITE 301, NORCROSS, GA 30093-2677
(770) 921-9792
(770) 921-9009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011563
GA
1223G0001X
General Practice Dentistry
DN011563
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00714172A
—
GA
01
—
39100
AVESIS
GA
01
—
9180327
DORAL
GA
Enumeration date
07/18/2006
Last updated
07/05/2022
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