Phuong Ngoc Nguyen, D.M.D
Dentist, Oral and Maxillofacial Surgery in Springfield, VA. Individual provider (NPI-1).
NPI number1740490648
StatusActive
Last updated in NPPESNov 5, 2013
Details
- NPI
- 1740490648
- Entity type
- Individual (NPI-1)
- Name
- Phuong Ngoc Nguyen
- Credential
- D.M.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2007
- Last updated
- Nov 5, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 401412250 | VA | Yes |
Practice location
9328 Castle Hill RdSpringfield, VA 22153-3900
Phone 714-235-1324
Mailing address
4585 Daisy Reid Ave Ste 105Woodbridge, VA 22192-7802
Phone 714-235-1324
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Other Oral and Maxillofacial Surgery (Dentist) providers in Springfield, VA
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