Active NPI 1811739527 Individual Practitioner Female Practitioner

Dr. Da-Thao Thi Nguyen , DDS

Dentist - General Practice • Saint Johns, FL

Professional Overview & Biography Verified Profile Summary

Dr. Da-Thao Nguyen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Saint Johns, FL. Practice services are available at 6915 LONGLEAF PINE PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6915 Longleaf Pine Pkwy

Saint Johns, FL 322597180

Telephone 2703201594

Associated Practice Facility / Clinic

🏢 Comfortable Care Dental Health Professionals. P.a. Facility NPI 1295578524

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Johns, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Saint Johns, 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: 2024-06-12

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN28959

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.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 12, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location June 12, 2024

Registered at 6915 LONGLEAF PINE PKWY, SAINT JOHNS, FL 322597180 (Tel: 2703201594)

📍

Updated Business Mailing Address June 12, 2024

Registered at 1739 BROKEN BOW DR W, JACKSONVILLE, FL 322253571 (Tel: 2703201594)

👤

Provider Name / Credentials Updated June 12, 2024

Recorded as DA-THAO NGUYEN, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2024

Dentist (License #DN28959 in FL)

🟢

Initial NPI Registration & Enumeration June 12, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1811739527

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 12, 2024

Last Update: June 12, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1739 Broken Bow Dr W

Jacksonville, FL 322253571

Phone: 2703201594

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.