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DR. NICHOLAS PHUNG D.M.D
NPI 1396172235
Dentist in Conyers, GA

Active since October 10, 2013
1450 SR 138, CONYERS, GA 30013(404) 932-4705 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicholas Phung D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS PHUNG D.M.D (NPI 1396172235) is an individual dentist in Conyers, Georgia, licensed in Georgia (DN014688) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1396172235
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NICHOLAS PHUNGCredential: D.M.D
Location Address1450 SR 138Conyers, GA 30013
Mailing Address1055 Paper Creek DrLawrenceville, GA 30046-5358 · (404) 932-4705
Phone(404) 932-4705
Sole ProprietorNo
Enumeration DateOctober 10, 2013
✔ NPI 1396172235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN014688
Definition
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.
1450 SR 138, Conyers, GA 30013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Phung's NPI number?

The NPI number for Nicholas Phung is 1396172235. It was assigned to this individual provider in the NPPES registry on October 10, 2013.

Where is Nicholas Phung located?

Nicholas Phung practices at 1450 Sr 138, Conyers, GA 30013. The listed phone number is (404) 932-4705.

What is Nicholas Phung's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Nicholas Phung accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Nicholas Phung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Phung was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.