Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396172235 Individual Practitioner Male Practitioner

Dr. Nicholas Phung , DMD

Dentist • Conyers, GA

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Phung, DMD is a registered healthcare professional specializing in Dentist in Conyers, GA. Practice services are available at 1450 SR 138 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1450 Sr 138

Conyers, GA 30013

Telephone 4049324705

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Conyers, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
33 Specialists

Practicing in Conyers, GA (2164 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN014688

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2013

Registered at 1450 SR 138, CONYERS, GA 30013 (Tel: 4049324705)

📍
Updated Business Mailing Address October 10, 2013

Registered at 1055 PAPER CREEK DR, LAWRENCEVILLE, GA 300465358 (Tel: 4049324705)

👤
Provider Name / Credentials Updated October 10, 2013

Recorded as NICHOLAS PHUNG, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2013

Dentist (License #DN014688 in GA)

🟢
Initial NPI Registration & Enumeration October 10, 2013

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: 1396172235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2013
Last Update: October 10, 2013
Sole Proprietor: No

Mailing Address

1055 Paper Creek Dr

Lawrenceville, GA 300465358

Phone: 4049324705

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.