Phung, Nicholas

Phung, Nicholas is an individual health care provider with primary practice located at 1450 Sr 138 , Conyers GA 30013. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Phung, Nicholas can be contacted via phone (404) 932-4705.

Contact Information

Primary practice address
1450 Sr 138 Conyers GA 30013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN014688 Georgia

Profile Details

NPI number 1396172235
LBN Legal business name Phung, Nicholas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2013
Last updated Oct 10th, 2013 - about 13 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.

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