Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962097543 Individual Practitioner Female Practitioner

Dr. Thao Huynh Thu Nguyen , DMD

Dentist - General Practice • Scott Afb, IL

Professional Overview & Biography Verified Profile Summary

Dr. Thao Nguyen, DMD is a registered healthcare professional specializing in Dentist - General Practice in Scott Afb, IL. Practice services are available at 310 W LOSEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 W Losey St

Scott Afb, IL 622255250

Telephone 6182562833
Associated Practice Facility / Clinic
🏢 375th Medgrp-Scott Facility NPI 1851373161

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Scott Afb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Scott Afb, IL (5581 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: 2025-12-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 42065

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1144854233

Doctor of Dental Medicine

NPI 1205572245

Doctor of Dental Surgery

NPI 1336488246

Doctor of Dental Medicine

Dr. Kristi Kennedy , DDS, MPH

Dentist - Periodontics

NPI 1376942573

Doctor of Dental Surgery, Master of Public Health

Dr. Sheila Krewet , DDS

Dentist - General Practice

NPI 1508487711

Doctor of Dental Surgery

Dr. John Brewster , DDS

Dentist - General Practice

NPI 1598724338

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2025

Dentist (License #42065 in TX)

📍
Updated Practice Location September 15, 2025

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250 (Tel: 6182562833)

📍
Updated Business Mailing Address September 15, 2025

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250

👤
Provider Name / Credentials Updated September 15, 2025

Recorded as THAO NGUYEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2025

Dentist (License #30.026581 in OH)

📍
Updated Practice Location August 30, 2023

Registered at UNIT 3215 BOX MDG, APO, AE 090943215 (Tel: 3144792039)

NPI Profile Active March 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2021

Registered at 9601 CHESTER AVE, CLEVELAND, OH 441061666 (Tel: 2163680214)

📍
Updated Business Mailing Address March 04, 2021

Registered at 9601 CHESTER AVE, CLEVELAND, OH 441061666

👤
Provider Name / Credentials Updated March 04, 2021

Recorded as THAO NGUYEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 04, 2021

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: 1962097543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2021
Last Update: December 11, 2025
Sole Proprietor: Yes

Mailing Address

310 W Losey St

Scott Afb, IL 622255250

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.