Dr. Long Tuong Nguyen Sr., DDS
Dentist, General Practice in Henrico, VA. Individual provider (NPI-1).
NPI number1164031183
StatusActive
Last updated in NPPESAug 25, 2021
Details
- NPI
- 1164031183
- Entity type
- Individual (NPI-1)
- Name
- Dr. Long Tuong Nguyen Sr.
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2020
- Certification date
- Aug 25, 2021
- Last updated
- Aug 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0401417025 | VA | Yes |
Practice location
12040 W Broad StHenrico, VA 23233-7689
Phone 804-364-7010
Mailing address
1612 Huguenot RdMidlothian, VA 23113
Phone 804-794-9789 · Fax 804-419-1059
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