JUSTIN LEE NGUYEN


Address: 10530 Rosehaven St Ste 111, Fairfax, VA 22030-2840
Phone: 7033855777

JUSTIN LEE NGUYEN (NPI# 1639599376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639599376
Entity Type Individual
Full Name JUSTIN LEE NGUYEN
Practice Address 10530 Rosehaven St Ste 111
Fairfax
VA 22030-2840
Practice Telephone 7033855777
Mailing Telephone 7033855777
Enumeration Date 2014-04-21
Last Update Date 2019-10-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
0438000403 VA Dental Providers

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1013550623 Justin Nguyen Physician Assistant 707 S Grady Way Ste 600, Renton, WA 98057-3227 2019-10-26
1093205478 Justin Van Minh Nguyen Student in an Organized Health Care Education/Training Program 20 York St, New Haven, CT 06510-3220 2018-05-11
1811412679 Justin Nguyen Pharmacist 555 E Calaveras Blvd, Milpitas, CA 95035-7704 2017-08-13
1881930360 Justin Nguyen Psychiatry & Neurology 1941 East Rd, Houston, TX 77054 2013-01-02
1720077241 Justin Nguyen Surgery 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2005-10-18

Office Location

Street Address 10530 ROSEHAVEN ST STE 111
City FAIRFAX
State VA
Zip Code 22030-2840

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831418714 Patrick R Friend Dentist 10530 Rosehaven St Ste 111, Fairfax, VA 22030-2840 2010-05-18
1063825677 Daniel Winokur Dentist 10530 Rosehaven St Ste 111, Fairfax, VA 22030-2840 2014-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205449477 Perry Camp Jr. Psychologist 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 2020-08-28
1952940322 Brightview Fair Oaks, LLC Alzheimer Center (Dementia Center) 12725 Lee Highway, Fairfax, VA 22030 2020-01-02
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
1528612124 Paul Sarigianis Student in an Organized Health Care Education/Training Program 10379b Democracy Lane, Fairfax, VA 22030 2019-07-31
1497221303 Kahak, Inc. Day Training, Developmentally Disabled Services 10560 Main Street Suite Ps100, Fairfax, VA 22030 2018-10-17
1689177073 Shamoona Sharif Dentist 11050 Lee Hwy, Fairfax, VA 22030 2018-03-13
1205339538 Rachael Lee Greene Social Worker 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 2018-03-13
1558863027 Jacqueline Renee Bauer Skilled Nursing Facility 10701 Main Street, Fairfax, VA 22030 2018-03-01
1275033607 Philajo Global LLC Non-emergency Medical Transport (VAN) 4521 Billingham Street, Fairfax, VA 22030 2018-02-12
1376050401 Alexander Harrison Counselor 4400 University Drive, Ms 2a2, Fairfax, VA 22030 2018-01-10
Find all providers in zip 22030

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831418714 Patrick R Friend Dentist 10530 Rosehaven St Ste 111, Fairfax, VA 22030-2840 2010-05-18
1376700427 Huy Chi Trinh Dentist 4211 Fairfax Corner Ave E Ste 235, Fairfax, VA 22030-8623 2008-05-16
1336347038 Basil Arthur Schiff Dentist 3050 Chain Bridge Rd, Suite 205, Fairfax, VA 22030-2834 2007-07-05
1316967862 Henry W. Zussman Dentist 10530 Rosehaven St, Suite 111, Fairfax, VA 22030-2840 2006-07-20
1063825677 Daniel Winokur Dentist 10530 Rosehaven St Ste 111, Fairfax, VA 22030-2840 2014-06-11
1144509258 Justin A Baker Dentist 10530 Rosehaven St, Suite 111, Fairfax, VA 22030-2840 2011-08-07
1154565653 John Hyun Hur Dentist 10530 Rosehaven St, Suite 111, Fairfax, VA 22030-2840 2009-04-28
1336386325 Frederick Liu Dentist 10530 Rosehaven St, Suite 111, Fairfax, VA 22030-2840 2009-01-13
1831399096 Cyrus A Ramsey Dentist 10530 Rosehaven St, Fairfax, VA 22030-2840 2007-07-24
1790795466 Kimberly A Silloway Dentist 10530 Rosehaven St, Suite 111, Fairfax, VA 22030-2840 2006-08-08
Find all providers in FAIRFAX

Competitor

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City FAIRFAX
Zip Code 22030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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