Healthcare Provider Details
I. General information
NPI: 1700700838
Provider Name (Legal Business Name): BINH H. NGUYEN DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 MOROSGO DR NE STE J-100
ATLANTA GA
30324-3524
US
IV. Provider business mailing address
700 MOROSGO DR NE STE J-100
ATLANTA GA
30324-3524
US
V. Phone/Fax
- Phone: 404-262-9600
- Fax: 404-233-9470
- Phone: 404-262-9600
- Fax: 404-233-9470
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BINH
NGUYEN
Title or Position: OWNER
Credential: DMD
Phone: 404-262-9600