Nguyen, Henry Chuong
Nguyen, Henry Chuong is an sole proprietor health care provider with primary practice located at 1394 Indian Trail Lilburn Rd Suite 301, Norcross GA 30093-2677. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Nguyen, Henry Chuong can be contacted via phone (770) 921-9792.Contact Information
Primary practice address
1394 Indian Trail Lilburn Rd Suite 301
Norcross GA 30093-2677
Phone: (770) 921-9792
Fax: (770) 921-9009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN011563 | Georgia |
| Dental Providers / Dentist | 122300000X | DN011563 | Georgia |
Profile Details
| NPI number | 1164440780 |
|---|---|
| LBN Legal business name | Nguyen, Henry Chuong |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 5th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164440780 | NPPES |
| Georgia | Other | 39100 | AVESIS |
| Georgia | Other | 9180327 | AVESIS |
| Georgia | MEDICAID | 00714172A | AVESIS |
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