Healthcare Provider Details

I. General information

NPI: 1841147642
Provider Name (Legal Business Name): JENNY THUY NGUYEN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6043 HARBOUR PARK DR
MIDLOTHIAN VA
23112-2160
US

IV. Provider business mailing address

5000 LIBBIE MILL EAST BLVD APT 409
RICHMOND VA
23230-2170
US

V. Phone/Fax

Practice location:
  • Phone: 804-739-8287
  • Fax:
Mailing address:
  • Phone: 571-226-6241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401420020
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: