Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134744477 Individual Practitioner Female Practitioner

Dr. Ly Nguyen , DMD

Dentist - General Practice • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ly Nguyen, DMD is a registered healthcare professional specializing in Dentist - General Practice in Daytona Beach, FL. Practice services are available at 1540 CORNERSTONE BLVD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1540 Cornerstone Blvd Ste 100

Daytona Beach, FL 321177144

Telephone 3862439950
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
38 Specialists

Practicing in Daytona Beach, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN24948

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MO 2020015889

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

501 S Madison St Ste P

Webb City, MO 648702426

Phone: 4174511566

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1033809272

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 20, 2024

Registered at 1540 CORNERSTONE BLVD STE 100, DAYTONA BEACH, FL 321177144 (Tel: 3862439950)

📍
Updated Business Mailing Address March 20, 2024

Registered at 603 LOMA DEL SOL DR, DAVENPORT, FL 338966552 (Tel: 2159548482)

NPI Profile Active June 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2020

Registered at 501 S MADISON ST STE P, WEBB CITY, MO 648702426 (Tel: 4174511566)

📍
Updated Business Mailing Address June 12, 2020

Registered at 1601 S ELLIS ST APT 298, WEBB CITY, MO 648703220 (Tel: 2159548482)

👤
Provider Name / Credentials Updated June 12, 2020

Recorded as LY NGUYEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2020

Dentist (License #2020015889 in MO)

🟢
Initial NPI Registration & Enumeration June 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134744477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2020
Last Update: March 20, 2024
Sole Proprietor: No

Mailing Address

603 Loma Del Sol Dr

Davenport, FL 338966552

Phone: 2159548482

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.