MEDICARE: THUY GIANG NGUYEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	0401419675	VA

General Provider Information

NPI Number	:	1821779273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THUY GIANG NGUYEN

Provider Business Mailing Address
First Line	:	106 KINGSBRIDGE LN
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23692-2790
Country	:	US
Telephone Number	:	484-269-1393
Fax Number	:

Provider Business Practice Location Address
First Line	:	1562 MITSCHER AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23551-2421
Country	:	US
Telephone Number	:	757-836-2637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2023
Last Update Date	:	10/31/2025

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