Healthcare Provider Details

I. General information

NPI: 1255340170
Provider Name (Legal Business Name): BINH H NGUYEN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 09/04/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MOROSGO DRIVE STE J-100
ATLANTA GA
30324
US

IV. Provider business mailing address

700 MOROSGO DRIVE STE J-100
ATLANTA GA
30324
US

V. Phone/Fax

Practice location:
  • Phone: 404-262-9600
  • Fax: 404-233-9470
Mailing address:
  • Phone: 404-262-9600
  • Fax: 404-233-9470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN012524
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: