Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396322517 Individual Practitioner Male Practitioner

Dr. Bach Nguyen , DDS

Dentist - General Practice • Tysons, VA

Professional Overview & Biography Verified Profile Summary

Dr. Bach Nguyen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tysons, VA. Practice services are available at 1500 CORNERSIDE BLVD STE 500 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Cornerside Blvd Ste 500

Tysons, VA 221822440

Telephone 7036256229
Associated Practice Facility / Clinic
🏢 Avanti Specialty Pllc Facility NPI 1215382262

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tysons, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Tysons, VA (3535 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: 2025-06-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401417315

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 DC DEN1002171

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 MD 17064

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

4020 Lafayette Village Dr

Annandale, VA 220031500

Phone: 5718304299

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Farshad Farhoumand , DDS PC

Dentist - General Practice

NPI 1548305170

DDSPC

Dr. Fotini Chrisopoulos , DDS, MS

Dentist - Prosthodontics

NPI 1770911273

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 17, 2025

Registered at 1500 CORNERSIDE BLVD STE 500, TYSONS, VA 221822440 (Tel: 7036256229)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2025

Dentist (License #DEN1002171 in DC)

NPI Profile Active March 24, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2021

Registered at 4020 LAFAYETTE VILLAGE DR, ANNANDALE, VA 220031500 (Tel: 5718304299)

📍
Updated Business Mailing Address March 24, 2021

Registered at 4020 LAFAYETTE VILLAGE DR, ANNANDALE, VA 220031500 (Tel: 5718304299)

👤
Provider Name / Credentials Updated March 24, 2021

Recorded as BACH NGUYEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2021

Dentist (License #0401417315 in VA)

🟢
Initial NPI Registration & Enumeration March 24, 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: 1396322517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2021
Last Update: June 17, 2025
Sole Proprietor: Yes

Mailing Address

4020 Lafayette Village Dr

Annandale, VA 220031500

Phone: 5718304299

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.